JEHAN ABDULSATTAR (NPI# 1124448584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124448584 |
| Entity Type | Individual |
| Full Name | JEHAN ABDULSATTAR |
| Credential | MD |
| Practice Address |
1541 Kings Hwy Shreveport LA 71103-4228 |
| Mailing Address |
1501 Kings Hwy Pathology Shreveport LA 71103-4228 |
| Practice Telephone | 3186260050 |
| Mailing Telephone | 3186757822 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
307925 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1541 KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909912 | Brfhh Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2005-08-10 |
| 1851991947 | Gina Marie Kristiansen | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-28 |
| 1376142893 | Candice Crow | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-26 |
| 1518574441 | Jadebrey Vyshette Kennon | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-24 |
| 1629683230 | Amanda Renae Simmons | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1255945382 | Frank James List | Pharmacy Technician | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-05 |
| 1700496312 | Caroline Leigh Harris | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-07 |
| 1740899400 | Brittany Allyson Bozzell | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-07-29 |
| 1386253169 | Kristyn Turner | Pharmacist | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-07-28 |
| 1508481722 | Alexandra Blair Lemaire | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134131501 | Charn Nopajaroonsri | Pathology | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-13 |
| 1063430288 | Warren Donovan Grafton | Pathology | 1501 Kings Hwy, Department of Pathology, Shreveport, LA 71103-4228 | 2006-07-17 |
| 1013941095 | Fleurette Wilheimina Abreo | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2006-07-10 |
| 1821022823 | Marjorie Rees Fowler | Pathology | 1501 Kings Hwy, Department of Pathology, Shreveport, LA 71103-4228 | 2006-07-10 |
| 1477587301 | Deepti Shukla | Pathology | 1501 Kings Hwy, Department of Pathology, Shreveport, LA 71103-4228 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992011209 | David Michael Scollard | Pathology | 1770 Physicians Park Dr, Nhdp, Baton Rouge, LA 70816-3222 | 2010-08-24 |
| 1336378793 | Yukihiro Nakanishi | Pathology | 1430 Tulane Ave Rm 6520, New Orleans, LA 70112-2632 | 2009-07-07 |
| 1033165600 | Patricia Carlin | Pathology | 67241 Industry Ln, Covington, LA 70433-8705 | 2006-05-25 |
| 1114305232 | Xinyu Wu | Pathology | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-05-08 |
| 1659695674 | Ronnie Self II | Pathology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2010-03-19 |
| 1447417159 | Rebecca A F Phillips | Pathology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2008-05-20 |
| 1588831952 | Courtney Carol Jackson | Pathology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2008-05-14 |
| 1235329723 | Jeffrey Robert Springer | Pathology | 1901 Perdido St, New Orleans, LA 70112-1393 | 2007-07-31 |
| 1619187945 | Meredith Ashley Lakey | Pathology | 1516 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-05-23 |
| 1306978432 | Sally Hotard Brewster | Pathology | 5825 Airline Hwy, Baton Rouge, LA 70805-2408 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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| 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.