DR. JOHN D HINRICHSEN (NPI# 1255335121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255335121 |
| Entity Type | Individual |
| Full Name | DR. JOHN D HINRICHSEN |
| Credential | MD |
| Practice Address |
1400 E Bert Kouns Loop Suite #103 Shreveport LA 71105-5634 |
| Mailing Address |
1400 E. Bert Kouns Suite #103 Shreveport LA 71105-5634 |
| Practice Telephone | 3182228402 |
| Practice Fax Number | 3182224556 |
| Mailing Telephone | 3182228402 |
| Mailing Fax Number | 3182224556 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 025484 | LA | Allopathic & Osteopathic Physicians |
| Y | 207WX0110X |
Ophthalmology Specialization: Pediatric Ophthalmology and Strabismus Specialist |
MD.025484 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS MEDICAID NUMBER | 160135001 | 01 |
| LA | 1578304 | 05 | |
| TX | TEXAS MEDICAID NUMBER | 166932702 | 01 |
| LA | GROUP NPI NUMBER | 1053315846 | 01 |
| TX | TEXAS MEDICARE NUMBER | 8F5258 | 01 |
| Street Address |
1400 E BERT KOUNS LOOP SUITE #103 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013217595 | South Shreveport Family Medicine, LLC | Family Medicine | 1400 E Bert Kouns Loop, Suite 104, Shreveport, LA 71105-5603 | 2010-10-29 |
| 1881631430 | Iram Kareemi Zando | Emergency Medicine | 1400 E Bert Kouns Loop, Suite 104, Shreveport, LA 71105-5603 | 2006-06-01 |
| 1992709745 | Alan B Richards | Ophthalmology | 1400 E Bert Kouns Loop, Suite #103, Shreveport, LA 71105-5603 | 2005-06-09 |
| 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 | 207WX0110X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Pediatric Ophthalmology and Strabismus Specialist |
| An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043383961 | Northshore Eye Associates LLC | Ophthalmology | 17170 S I 12 Service Rd, Hammond, LA 70403-2408 | 2006-11-16 |
| 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.