SWEARINGEN AND BRYAN (NPI# 1073612727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073612727 |
| Entity Type | Organization |
| Organization Name | SWEARINGEN AND BRYAN |
| Other Organization Name | SHREVEPORT OPHTHALMOLOGY CLINIC |
| Practice Address |
1666 E Bert Kouns Industrial Loop Ste 235 Shreveport LA 71105-5714 |
| Practice Telephone | 3185242222 |
| Practice Fax Number | 3185240113 |
| Mailing Telephone | 3185242222 |
| Mailing Fax Number | 3185240113 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-02-02 |
| Authorized Official Name | DR. JAMES PAUL SWEARINGEN JR. (PRESIDENT) |
| Authorized Official Telephone | 3185242222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 012655 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RRMEDICARE | CD7197 | 01 |
| Other Name | Type Code |
|---|---|
| Shreveport Ophthalmology Clinic | Doing Business As Name - Organization |
| Street Address |
1666 E BERT KOUNS INDUSTRIAL LOOP STE 235 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306875570 | Edward Ronald Samper | Emergency Medicine | 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 | 2006-07-01 |
| 1326488347 | Abigail Tillman | Family Medicine | 1666 E Bert Kouns Industrial Loop, Shreveport, LA 71105 | 2013-07-05 |
| 1821127978 | Breast Care Specialists Amc | Surgery | 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105-5714 | 2007-03-05 |
| 1891822714 | Cheryl Austin Smith, Md, Inc. | Family Medicine | 1666 E Bert Kouns Industrial Loop, Suite 225, Shreveport, LA 71105-5714 | 2007-02-27 |
| 1235247230 | Cheryl A Smith | Family Medicine | 1666 E Bert Kouns Industrial Loop, Suite 225, Shreveport, LA 71105-5714 | 2006-08-29 |
| 1598797789 | Stephen Alan Smith | Family Medicine | 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 | 2006-07-07 |
| 1003847013 | Paul S Wilson Md and Willis-knighton Medical Center | Internal Medicine | 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105-5714 | 2006-07-06 |
| 1629008214 | John Gordon Goddard | Family Medicine | 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879335 | Donesa Walker | Specialist | 8856 Youree Dr Ste D, Shreveport, LA 71115-2514 | 2020-04-02 |
| 1447749304 | Kelly E Rachal, Dvm | Specialist | 4445 Youree Dr, Shreveport, LA 71105-3618 | 2018-05-07 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1063816304 | Lisa Dupree | Specialist | 7655 Grimm Rd, Shreveport, LA 71107-3450 | 2014-10-15 |
| 1205256633 | Rhydonia R. Pillars | Specialist | 3110 Bert Kouns Industrial Loop # 11, Ste G, Shreveport, LA 71118-2948 | 2014-04-24 |
| 1912253618 | A Golden Touch Inc | Specialist | 3110 Bert Kouns Industrial Loop Ste G, Box 11, Shreveport, LA 71118 | 2012-07-31 |
| 1396048385 | Thomas J. Worgul, M.d., Apmc | Specialist | 7837 Youree Dr, Shreveport, LA 71105-5505 | 2010-12-13 |
| 1083929954 | Henock G Zabher LLC | Specialist | 8007 Amy Hewes Dr, Shreveport, LA 71115-4605 | 2010-08-16 |
| 1881907624 | Katharine Marie Meldrum | Specialist | 6602 Gilbert Dr, Shreveport, LA 71106-2300 | 2010-07-21 |
| 1033352976 | Jennifer A Perfetto | Specialist | 9809 Hearthside Cir, Shreveport, LA 71118-4830 | 2009-04-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on SWEARINGEN AND BRYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.