SARA SIBLEY SERIO (NPI# 1194916502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194916502 |
Entity Type | Individual |
Full Name | SARA SIBLEY SERIO |
Other Name | SARA DIANN SIBLEY |
Credential | MD |
Practice Address |
4027 Baltimore Ave Shreveport LA 71106-1009 |
Practice Telephone | 3188716767 |
Mailing Telephone | 3188716767 |
Enumeration Date | 2007-08-09 |
Last Update Date | 2013-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
202031 | LA | Allopathic & Osteopathic Physicians |
N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
237168 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 195612002 | 05 | |
LA | 1175781 | 05 | |
TX | 195612001 | 05 |
Street Address |
4027 BALTIMORE AVE |
City | SHREVEPORT |
State | LA |
Zip Code | 71106-1009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
Find all providers in zip 71106 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326062076 | Neonatal Care Specialists, Inc. | Pediatrics | 920 Pierremont Rd, Suite 200, Shreveport, LA 71106-2079 | 2006-07-26 |
1003809211 | Lea Bonifacio Penales | Pediatrics | 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118-3130 | 2005-08-24 |
1780848580 | Wk Ark-la-tex Neonatology | Pediatrics | 2510 Bert Kouns Loop, Room 215, Shreveport, LA 71118-3119 | 2008-07-11 |
1720242431 | Scott A Walls | Pediatrics | 2510 Bert Kouns Loop, Room 215, Shreveport, LA 71118-3119 | 2008-07-11 |
1972697886 | Shabih Manzar | Pediatrics | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-10-03 |
1093735961 | Hassan Mohwad Ibrahim | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-20 |
1700806676 | Richard William Krouskop | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-20 |
1497772305 | Janet Blount Ashenbrebber | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-16 |
1285651190 | Arun Kimar Pramanik | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-16 |
1285666487 | Gerald Brent Whitton | Pediatrics | 2510 Bert Kouns Industrial Loop, Room 215, Shreveport, LA 71118-3119 | 2006-07-07 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71106 |
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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.