MALCOLM A MCMILLAN


Address: 255 Bert Kouns Loop, Shreveport, LA 71106-8150
Phone: 3186830411

MALCOLM A MCMILLAN (NPI# 1275538738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275538738
Entity Type Individual
Full Name MALCOLM A MCMILLAN
Credential CRNA
Practice Address 255 Bert Kouns Loop
Shreveport
LA 71106-8150
Mailing Address Po Box 6270
Shreveport
LA 71136-6270
Practice Telephone 3186830411
Practice Fax Number 3186035461
Mailing Telephone 3186830411
Mailing Fax Number 3186035461
Enumeration Date 2005-06-20
Last Update Date 2013-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RN078292 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1428442 05

Office Location

Street Address 255 BERT KOUNS LOOP
City SHREVEPORT
State LA
Zip Code 71106-8150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902801467 James Robert Noble Urology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-06-20
1629620083 Catie Arnold Griffith Licensed Practical Nurse 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2019-07-15
1174575591 Regional Urology Oncology and Radiation Treatment Center Radiology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2006-05-16
1588661599 Misty N Miller Nurse Anesthetist, Certified Registered 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-07-05
1245237742 Regional Urology LLC. Urology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-06-30
1710983127 William Thazter Hall Urology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-06-22
1881699395 Tobin Hodge Grigsby Urology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-06-21
1699770107 Kevin James Cline Urology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-06-21
1811992373 Thomas Evan Palmer Urology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-06-20
1871598342 Tommy Moses Mook Urology 255 Bert Kouns Loop, Shreveport, LA 71106-8150 2005-06-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043728967 Sarah Elizabeth Fitzhugh Nurse Anesthetist, Certified Registered 1500 Line Ave Ste 206, Shreveport, LA 71101-4649 2018-01-12
1013386507 Kurvis Antione Davis Nurse Anesthetist, Certified Registered 367 Carrollton Ave, Shreveport, LA 71105-3205 2015-09-15
1134519044 Comfort Anesthesia LLC Nurse Anesthetist, Certified Registered 9423 Acadiana Place Blvd, Shreveport, LA 71115-3704 2015-01-29
1598066599 Kristi Rae Hylan Nurse Anesthetist, Certified Registered 848 Gladstone Blvd, Shreveport, LA 71104-4202 2010-11-06
1366773400 Michael Jeff Lewis Nurse Anesthetist, Certified Registered 905 Crescent Rd, Shreveport, LA 71107-3908 2010-01-28
1669611463 Kimberly Leach Grantham Nurse Anesthetist, Certified Registered 1171 Pelican Creek Dr, Shreveport, LA 71106-8539 2009-02-18
1477734820 Red River Anesthesia Services, A.p.m.c. Nurse Anesthetist, Certified Registered 3217 Mabel Street, Shreveport, LA 71103-4022 2007-11-14
1164638474 Gary Cornell Wilkins Nurse Anesthetist, Certified Registered 5850 Yarbrough, Shreveport, LA 71119 2007-05-15
1588750319 Curtis James Ardoin Nurse Anesthetist, Certified Registered 1 St Mary Place, Pfs- Professional Billing, Shreveport, LA 71101 2006-10-05
1609960111 Andrea Cariere Leazer Nurse Anesthetist, Certified Registered 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 2006-10-02
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City SHREVEPORT
Zip Code 71106

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Dataset Information

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.

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