KURTIS KOSTAN (NPI# 1134516172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134516172 |
| Entity Type | Individual |
| Full Name | KURTIS KOSTAN |
| Credential | MD |
| Practice Address |
2551 Greenwood Rd Ste 410 Shreveport LA 71103-3989 |
| Mailing Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
| Practice Telephone | 3186212929 |
| Practice Fax Number | 3186383169 |
| Mailing Telephone | 3182128951 |
| Mailing Fax Number | 3182126752 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | MD.308102 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2388410 | 05 |
| Street Address |
2551 GREENWOOD RD STE 410 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184687212 | Huan Q Le | Internal Medicine | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989 | 2006-04-10 |
| 1790397586 | Jennifer Grisham | Nurse Practitioner | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989 | 2020-08-21 |
| 1801328034 | Mohammad-hesam Akbarian-tefaghi | Internal Medicine | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989 | 2017-03-28 |
| 1063876068 | Derek Rey Munoz | Internal Medicine | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103 | 2016-04-06 |
| 1700273612 | Michael Broadwell | Internal Medicine | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989 | 2015-04-17 |
| 1659768588 | Brenden Brunner | Internal Medicine | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989 | 2015-04-17 |
| 1437579455 | Jared Mcfarlin | Internal Medicine | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989 | 2014-04-17 |
| 1063831352 | David M. Hudson | Internal Medicine | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989 | 2014-04-15 |
| 1861659062 | Matthew Frank | Internal Medicine | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989 | 2008-05-16 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690354 | The Intensivist Group, LLC | Hospitalist | One St. Mary Place, Shreveport, LA 71101-4343 | 2009-01-30 |
| 1437545282 | Wk North Hospitalists Group | Hospitalist | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2015-04-08 |
| 1306265103 | Christina Ruth Reynolds | Hospitalist | 1202 Louisiana Ave, Shreveport, LA 71101 | 2014-04-09 |
| 1265675193 | Amy Kathryn Gessford | Hospitalist | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2009-04-08 |
| 1720242282 | Chi-cheng Morehead-yang | Hospitalist | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2008-07-14 |
| 1558525410 | Indira Srinivasa Rao | Hospitalist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-07-10 |
| 1831357482 | Wk South Hospitalists | Hospitalist | 2508 Bert Kouns Industrial Loop, Suite 320, Shreveport, LA 71118-3133 | 2008-05-30 |
| 1326074832 | Wk Pierremont Hospitalists | Hospitalist | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870456 | American Specialty Medical Services, LLC | Hospitalist | 3600 Prytania St Ste A, New Orleans, LA 70115-3628 | 2020-04-20 |
| 1346728508 | Venture Hospitalist, LLC | Hospitalist | 1135 Royal St Apt 2, New Orleans, LA 70116-2717 | 2018-07-31 |
| 1144600925 | Kateryna A Poole | Hospitalist | 1516 Jefferson Highway, Bh629, Ochsner Internal Medicine Department, New Orleans, LA 70121 | 2015-06-05 |
| 1518386648 | Robert Oubre | Hospitalist | Hospital Medicine Services, 5000 Hennessy Blvd, Baton Rouge, LA 70808 | 2014-04-16 |
| 1376961912 | Marilyn Kristel Marshall | Hospitalist | 79 Coronado Ave, Kenner, LA 70065-3132 | 2014-04-01 |
| 1851718738 | Simon Shamass | Hospitalist | 1542 Tulane Ave Rm 444, New Orleans, LA 70112-2865 | 2014-03-27 |
| 1518252220 | Dustin Allan Abadco | Hospitalist | 180 West Esplande Avenue, Kenner, LA 70065-2467 | 2011-06-10 |
| 1952630360 | Hawkeye Medical, LLC | Hospitalist | 3319 Highway 107 South, Plaucheville, LA 71362 | 2009-12-14 |
| 1609005073 | Innovative Hospitalist Services LLC | Hospitalist | 85 Whisperwood Blvd Ste 1s, Slidell, LA 70458-1136 | 2009-07-07 |
| 1801037866 | Shane Guillory | Hospitalist | 252 Metairie Heights Ave, Metairie, LA 70001-3037 | 2009-03-20 |
| 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.