DR. JEREL L RANEY (NPI# 1245206077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245206077 |
| Entity Type | Individual |
| Full Name | DR. JEREL L RANEY |
| Credential | M.D. |
| Practice Address |
7045 Youree Dr Shreveport LA 71105-5108 |
| Practice Telephone | 3187983763 |
| Practice Fax Number | 3187982267 |
| Mailing Telephone | 3187983763 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2010-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 14348R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1136905 | 05 |
| Street Address |
7045 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658598 | Ericka Hufford | Physician Assistant | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2016-09-23 |
| 1497139695 | Amanda Barnes | Physician Assistant | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2015-07-17 |
| 1558666073 | Mollie Berg | Physician Assistant | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2011-01-13 |
| 1013156439 | Amanda Bradshaw Raney | Pediatrics | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2009-02-09 |
| 1669623971 | Michelle Anne Burgoyne | Physician Assistant | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2008-10-06 |
| 1720237787 | Velocity Md LLC | Clinic/Center | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2008-09-15 |
| 1659311694 | John J Mclean | Emergency Medicine | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2006-06-07 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982871182 | Edward Locascio | Emergency Medicine | 1512 W Kirby Place, Department of Emergency Medicine, Shreveport, LA 71103-3822 | 2008-05-15 |
| 1780722686 | Joseph Salvador Bianca | Emergency Medicine | 715 Chinquapin Dr, Shreveport, LA 71106-7200 | 2007-02-02 |
| 1902950363 | Richard A Aycock II | Emergency Medicine | 2510 Bert Kouns Indistrial Loop, Shreveport, LA 71118 | 2007-01-23 |
| 1962555342 | Charles Leonard Black | Emergency Medicine | 7600 General Motors Blvd, Medical Department, Shreveport, LA 71129-9426 | 2007-01-19 |
| 1801820121 | Mary Ann Edens | Emergency Medicine | 1501 King's Highway, Shreveport, LA 71103 | 2006-07-10 |
| 1992738629 | Paul Bracey | Emergency Medicine | 6841 Fern Avenue, Suite 100, Shreveport, LA 71105 | 2006-07-08 |
| 1306875570 | Edward Ronald Samper | Emergency Medicine | 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 | 2006-07-01 |
| 1366482309 | Kenneth David Miller | Emergency Medicine | 11165 Heritage Oaks, Shreveport, LA 71106-8383 | 2006-06-07 |
| 1225084536 | John Kevin Netterville | Emergency Medicine | One St Mary Place, Shreveport, LA 71101 | 2006-05-26 |
| 1609867415 | Magdy Eskander | Emergency Medicine | 2724 Greenwood Rd, Shreveport, LA 71109-4635 | 2005-11-01 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.