PEGASUS HEALTH SERVICES LOUSIANA LLC


Address: 8660 Fern Ave, Ste 120, Shreveport, LA 71105-5649
Phone: 9034872248

PEGASUS HEALTH SERVICES LOUSIANA LLC (NPI# 1093264509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093264509
Entity Type Organization
Organization Name PEGASUS HEALTH SERVICES LOUSIANA LLC
Practice Address 8660 Fern Ave
Ste 120
Shreveport
LA 71105-5649
Mailing Address Po Box 837
Howe
TX 75459-0837
Practice Telephone 9034872248
Enumeration Date 2016-09-26
Last Update Date 2016-09-26
Authorized Official Name JEFFEREY ADAIR (MEMBER)
Authorized Official Telephone 9034872248
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0008X Psychiatry & Neurology
Specialization: Neuromuscular Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 8660 FERN AVE
STE 120
City SHREVEPORT
State LA
Zip Code 71105-5649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780786590 Community Hospices of America, Inc. Hospice Care, Community Based 8660 Fern Ave, Suite 145, Shreveport, LA 71105-5649 2006-09-02
1851737506 Ark-la-tex Spine Apmc Pain Medicine 8660 Fern Ave, Suite 120, Shreveport, LA 71105-5649 2013-05-21
1114200870 Regional Hospice Care Group of Nw Louisiana, LLC Hospice Care, Community Based 8660 Fern Ave, Suite 145, Shreveport, LA 71105-5649 2011-09-20
1548577794 Louisiana Hospice & Palliative Care LLC Home Health 8660 Fern Ave, Suite 145, Shreveport, LA 71105-5649 2010-09-09
1093926263 Clifton W. Shepherd Specialist 8660 Fern Ave, Suite 145, Shreveport, LA 71105-5649 2007-05-26

Providers in the same zip code

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 Information

Taxonomy Code 2084N0008X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neuromuscular Medicine

Taxonomy Definition

A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology

Competitor

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City SHREVEPORT
Zip Code 71105

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Dataset Information

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.

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