GERALD BRENT WHITTON


Address: 2510 Bert Kouns Industrial Loop, Room 215, Shreveport, LA 71118-3119
Phone: 3182125970

GERALD BRENT WHITTON (NPI# 1285666487) 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) 1285666487
Entity Type Individual
Full Name GERALD BRENT WHITTON
Credential MD
Practice Address 2510 Bert Kouns Industrial Loop
Room 215
Shreveport
LA 71118-3119
Mailing Address Po Box 3038
Shreveport
LA 71133-3038
Practice Telephone 3182125970
Practice Fax Number 3182125975
Mailing Telephone 3182125970
Mailing Fax Number 3182125975
Enumeration Date 2006-07-07
Last Update Date 2007-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
024459 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1572179 05

Office Location

Street Address 2510 BERT KOUNS INDUSTRIAL LOOP
ROOM 215
City SHREVEPORT
State LA
Zip Code 71118-3119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003882820 Billy B Miller IIi Nurse Anesthetist, Certified Registered 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2006-02-23
1417367616 Sarah Hatfield Nurse Practitioner 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2014-04-28
1164740262 Craig Chu Pediatrics 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2010-05-13
1629201538 Sharon Tran Pediatrics 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2009-08-25
1295981363 Wk Behavioral Health Services Psychiatry & Neurology 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2008-08-08
1578774881 Aja Welch Menard Psychiatry & Neurology 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2007-05-25
1558486746 Michael J Sullivan Emergency Medicine 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2007-03-20
1649309345 John J Felty Emergency Medicine 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 2007-03-06
1124170691 Willis Knighton Medical Center, Inc. General Acute Care Hospital 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2007-01-17
1215094040 Patrick Timothy Gallagher Sr. Emergency Medicine 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2007-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720620784 Wk Center for Pediatric Gastroenterology Pediatrics Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 2019-10-11
1306302443 Diamond Marie Willis Case Manager/Care Coordinator 9403 Mansfield Rd., Shreveport, LA 71118 2019-02-13
1194224469 Latosa Hall Case Manager/Care Coordinator 9007 Letha Loop, Shreveport, LA 71118 2018-02-01
1902321623 Bersheika Lashay Player Counselor 9403 Mansfield Road, Shreveport, LA 71118 2017-08-03
1518487149 Clarke Jackson Case Manager/Care Coordinator 9730 Baird Rd Apt 2310, Shreveport, LA 71118 2017-06-24
1770010449 Darrie'l Smith Counselor 2715 Mackey, Shreveport, LA 71118 2017-05-12
1760917041 Delilah Wells Case Manager/Care Coordinator 9005 Walker Rd Apt 722, Shreveport, LA 71118 2017-04-25
1790229664 We Care Transporttion Services LLC Secured Medical Transport (VAN) 2529 Summer Grove Dr, Shreveport, LA 71118 2016-12-13
1063955128 Commanisha Smith Social Worker 2715 Mackey Place, Shreveport, LA 71118 2016-11-22
1023560802 Yasmin Newman Counselor 9812 West Trails End, Shreveport, LA 71118 2016-10-27
Find all providers in zip 71118

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194916502 Sara Sibley Serio Pediatrics 4027 Baltimore Ave, Shreveport, LA 71106-1009 2007-08-09
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
Find all providers in SHREVEPORT

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City SHREVEPORT
Zip Code 71118

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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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