JULIE A CUPP (NPI# 1275742470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275742470 |
| Entity Type | Individual |
| Full Name | JULIE A CUPP |
| Other Name | JULIE A GUIDROZ |
| Credential | M.D. |
| Practice Address |
7843 Youree Dr Shreveport LA 71105-5505 |
| Practice Telephone | 3182123772 |
| Practice Fax Number | 3182123773 |
| Mailing Telephone | 3182123772 |
| Mailing Fax Number | 3182123773 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | R7857 | IA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
303750 | LA | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
2014-00152 | NC | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
P6366 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 329507301 | 05 |
| Street Address |
7843 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427045814 | M. Ashley Wheat-sipes | Ophthalmology | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2005-09-30 |
| 1295289932 | Wk Breast Health & Surgical Center | Surgery | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2016-08-11 |
| 1861424228 | Christopher Lindon Shelby | Ophthalmology | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2006-07-07 |
| 1871522912 | Chris Shelby Md and Willis-knighton Medical Center | Ophthalmology | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2006-07-01 |
| 1598732919 | Janusz Luka | Optometrist | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2006-03-03 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396701793 | Kevin Craig Marler | Surgery | 8001 Youree Drive, Suite 840, Shreveport, LA 71115-2302 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730264201 | Mastology Center, Inc | Surgery | 541 Shadows Ln Ste C, Baton Rouge, LA 70806-6559 | 2006-10-25 |
| 1831142090 | Henry J Kaufman Iv | Surgery | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2006-05-18 |
| 1215934740 | Peter James Bostick | Surgery | 3401 North Blvd, Ste 330, Baton Rouge, LA 70806 | 2005-06-30 |
| 1508369489 | Saad Al Awwad | Surgery | 1430 Tulane Ave # Sl-22, New Orleans, LA 70112-2632 | 2018-03-16 |
| 1780994079 | C. Edward Foti, M.d., A Professional Medical Corporation | Surgery | 3106 Houma Blvd, Metairie, LA 70006-5406 | 2010-10-20 |
| 1417109000 | River Parish Surgical Associates | Surgery | 501 Rue De Sante, Suite 5, La Place, LA 70068-5400 | 2008-10-15 |
| 1386834836 | Aimee M Mackey | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-07-31 |
| 1790887677 | Emery August Minnard | Surgery | 120 Meadowcrest St, Ste 450, Gretna, LA 70056-5255 | 2006-09-02 |
| 1649299330 | Robert Lange Elliott Jr. | Surgery | 541 Shadows Ln, Ste C, Baton Rouge, LA 70806-6559 | 2006-07-19 |
| 1316991722 | E. Paul Breaux IIi Md Pmc | Surgery | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
| 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.