DR. GEORGE ROBERT MERRIMAN II (NPI# 1285670356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285670356 |
Entity Type | Individual |
Full Name | DR. GEORGE ROBERT MERRIMAN II |
Credential | M.D. |
Practice Address |
949 Olive St Shreveport LA 71104-2103 |
Practice Telephone | 3182223132 |
Practice Fax Number | 3182223865 |
Mailing Telephone | 3182223132 |
Mailing Fax Number | 3182223865 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2020-02-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 09092R | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1931322 | 05 |
Street Address |
949 OLIVE ST |
City | SHREVEPORT |
State | LA |
Zip Code | 71104-2103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053832287 | Kimberly Rae Stanfield Townsend | Nurse Practitioner | 949 Olive St, Shreveport, LA 71104-2103 | 2017-06-28 |
1356722466 | Surgassist of Shreveport, LLC | Physician Assistant | 949 Olive St, Shreveport, LA 71104-2103 | 2015-06-15 |
1558693127 | Stacy Lynn Gregory | Licensed Practical Nurse | 949 Olive St, Shreveport, LA 71104-2103 | 2010-02-08 |
1588731665 | Surgical Specialists of Shreveport, LLC | Surgery | 949 Olive St, Shreveport, LA 71104-2103 | 2006-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
Find all providers in zip 71104 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730663907 | Ida Molavi | Surgery | Department of Surgery, 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2018-09-24 |
1962500850 | Minimally Invasive Surgery Center of Louisiana | Surgery | 1534 Elizabeth Ave Ste 400, Shreveport, LA 71101-4531 | 2006-09-21 |
1104846989 | Kevin Mark Sittig | Surgery | 1541 Kings Hwy Dept Of, Shreveport, LA 71103-4228 | 2006-07-21 |
1417900416 | Milon G Karmakar | Surgery | 3300 Albert L Bicknell Dr, Suite 6, Shreveport, LA 71103-3903 | 2006-05-18 |
1821054214 | John Davidson Gladney | Surgery | 8001 Youree Drive, Suite 840, Shreveport, LA 71115-2302 | 2006-04-25 |
1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
1053315903 | James Booth Burke | Surgery | 1202 Louisiana Avenue, Shreveport, LA 71101-3910 | 2005-06-09 |
1760486609 | William Lewis Norwood Jr. | Surgery | 2751 Albert Bicknell Drive, Suite 3a, Shreveport, LA 71103-3976 | 2005-06-09 |
1619588019 | Wk Minimally Invasive Surgery Center | Surgery | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2020-08-11 |
1295289932 | Wk Breast Health & Surgical Center | Surgery | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2016-08-11 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71104 |
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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.