TRI-STATE NEUROLOGY LLC (NPI# 1326130931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326130931 |
| Entity Type | Organization |
| Organization Name | TRI-STATE NEUROLOGY LLC |
| Practice Address |
2551 Greenwood Road Suite 240 Shreveport LA 71103 |
| Practice Telephone | 3182128675 |
| Practice Fax Number | 3182128680 |
| Mailing Telephone | 3182128675 |
| Mailing Fax Number | 3182128680 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | DR. GURLEEN SIKAND (CEO) |
| Authorized Official Telephone | 3182128675 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
10721R | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2551 GREENWOOD ROAD SUITE 240 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194756437 | Karla O Querbes | Internal Medicine | 2551 Greenwood Road, Suite 410, Shreveport, LA 71103-3989 | 2006-07-05 |
| 1336543420 | Kathryn Chreene Waldrop | Neurological Surgery | 2551 Greenwood Road, Suite 320, Shreveport, LA 71103 | 2014-10-17 |
| 1922449917 | Suzanne Matlock Frye | Nurse Practitioner | 2551 Greenwood Road, Suite #410, Shreveport, LA 71103 | 2013-07-08 |
| 1659464865 | Kristy H Cory | Physician Assistant | 2551 Greenwood Road, Suite 210, Shreveport, LA 71103-3905 | 2006-10-02 |
| 1770683997 | Bryn-fincher Pulmonary & Critical Care | Internal Medicine | 2551 Greenwood Road, Ste 210, Shreveport, LA 71103-3905 | 2006-09-25 |
| 1821198052 | Robert W Taylor Jr. | Internal Medicine | 2551 Greenwood Road, Ste 210, Shreveport, LA 71103-3905 | 2006-09-25 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629451638 | Chaitanya Amrutkar | Psychiatry & Neurology | 1811 E Bert Koun Loop Ste 120, Shreveport, LA 71105-5741 | 2015-07-08 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1689674590 | Nabil A Moufarrej | Psychiatry & Neurology | 2205 E 70th St, Shreveport, LA 71105-5308 | 2005-07-21 |
| 1790390995 | Wk Pierremont Neurology Clinic | Psychiatry & Neurology | 1811 E Bert Koun Loop Ste 120, Shreveport, LA 71105-5741 | 2020-09-14 |
| 1700165891 | Willis-knighton Medical Center, Inc | Psychiatry & Neurology | 2551 Greenwood Rd, Suite 240, Shreveport, LA 71103-3981 | 2011-08-08 |
| 1417278458 | Jayson Divino Rodriguez | Psychiatry & Neurology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2010-06-14 |
| 1013174143 | Peimin Zhu | Psychiatry & Neurology | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2008-05-16 |
| 1639375793 | Suresh Kumar | Psychiatry & Neurology | 3330 Youree Dr, Shreveport, LA 71105-2116 | 2007-06-25 |
| 1275744526 | Muhammad Waseem Anjum | Psychiatry & Neurology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2007-05-25 |
| 1235349812 | Meghan K. Harris | Psychiatry & Neurology | 1455 E Bert Kouns Loop, Suite # 109, Shreveport, LA 71105-5634 | 2007-05-23 |
| 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.