WILLIS KNIGHTON MEDICAL CENTER INC. CRNA GROUP (NPI# 1295821775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295821775 |
| Entity Type | Organization |
| Organization Name | WILLIS KNIGHTON MEDICAL CENTER INC. CRNA GROUP |
| Practice Address |
2600 Greenwood Rd Shreveport LA 71103-3908 |
| Mailing Address |
2460 Churchill Dr Bossier City LA 71111-5558 |
| Practice Telephone | 3182124072 |
| Mailing Telephone | 3187415094 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY EDWIN FRANCIS (CRNA) |
| Authorized Official Telephone | 3182127000 |
| Authorized Official Credential | MASTER OF SCIENC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | LA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174546097 | Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2006-07-25 |
| Street Address |
2600 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508307 | Mary Cecola | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2005-06-13 |
| 1427675701 | Lakyn Paige Smith | Nurse Practitioner | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2020-07-02 |
| 1730645201 | Willis Knighton Medical Center, Inc. | Clinic/Center | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2019-02-20 |
| 1013497114 | Cross Lake Emergency Group, LLC | Physician Assistant | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2018-08-17 |
| 1417479262 | Kristen Mccoy Keener | Nurse Practitioner | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2017-07-13 |
| 1689110538 | Penny Lynn Ford | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2017-01-17 |
| 1427508456 | Edward Glenn Bernatowicz | Pharmacist | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2016-10-13 |
| 1306237391 | Christina Maxwell | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2015-02-11 |
| 1467841270 | Houston Lacobee | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2015-01-16 |
| 1740688415 | Ana Costea | Emergency Medicine | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2014-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1396073409 | Nelson & Nelson Apmc | General Acute Care Hospital | 9512 Balsa Dr, Shreveport, LA 71115-3127 | 2009-12-01 |
| 1912909912 | Brfhh Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2005-08-10 |
| 1417950106 | Christus Health Northern Louisiana | General Acute Care Hospital | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2005-05-27 |
| 1366064016 | The Carpenter Center for Palliative Medicine of Shreveport, LLC | General Acute Care Hospital | 8950 E Kings Hwy, Shreveport, LA 71115-2704 | 2020-05-15 |
| 1427536325 | University Health Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2018-08-02 |
| 1386034387 | Obvamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2015-01-28 |
| 1871927921 | Brfhh Shreveport, LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2013-08-26 |
| 1346585312 | Overton Brooks Va Medical Center | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2012-12-03 |
| 1295974574 | Overton Brooks Vamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2009-02-11 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.