MRS. KATHRYN CHREENE WALDROP (NPI# 1336543420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336543420 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN CHREENE WALDROP |
| Other Name | MISS KATHRYN FRANCES CHREENE |
| Credential | PA-C |
| Practice Address |
2551 Greenwood Road Suite 320 Shreveport LA 71103 |
| Practice Telephone | 3182128176 |
| Practice Fax Number | 3182128186 |
| Mailing Telephone | 3182128176 |
| Mailing Fax Number | 3182128186 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | PA.200749 | LA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA.200749 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2377078 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 Kings Hwy, Shreveport, LA 711034228 | 3186755000 |
| Street Address |
2551 GREENWOOD ROAD SUITE 320 |
| 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 |
| 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 |
| 1326130931 | Tri-state Neurology LLC | Psychiatry & Neurology | 2551 Greenwood Road, Suite 240, Shreveport, LA 71103 | 2006-09-29 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437380342 | Stanley Hoang | Neurological Surgery | 1501 Kings Hwy Rm 3-407, Shreveport, LA 71103-4228 | 2009-07-28 |
| 1235330432 | Peter Gravel Campbell | Neurological Surgery | 1500 Line Ave Ste 200, Shreveport, LA 71101-4643 | 2007-05-29 |
| 1790720738 | Louisina State University Health Sciences Center | Neurological Surgery | 1501 Kings Highway, Lsuhsc-s, Shreveport, LA 71103-4228 | 2006-06-16 |
| 1598743734 | John David Reeves | Neurological Surgery | 2751 Albert L Bicknell Dr Ste 1b, Shreveport, LA 71103-3940 | 2006-01-06 |
| 1023506862 | Keisha Roichelle Bonyfield | Neurological Surgery | 1501 Kings Hwy, Shreveport, LA 71103 | 2018-04-26 |
| 1497277677 | Wk Spectrum Neurosurgery-the Brain & Spine Specialist | Neurological Surgery | 2751 Albert L Bicknell Dr Ste 1b, Shreveport, LA 71103-3940 | 2017-07-10 |
| 1497294375 | Amey Ragan Savardekar | Neurological Surgery | 1501 Kings Highway, Neurosurgery, Shreveport, LA 71130 | 2017-02-13 |
| 1760938278 | Wk Neurology Consultants | Neurological Surgery | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2016-08-26 |
| 1649620238 | Nimer Abushehab | Neurological Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2016-06-15 |
| 1538513429 | Wk Tri- State Neurosurgery Associates | Neurological Surgery | 2551 Greenwood Rd, Suite 320, Shreveport, LA 71103-3981 | 2016-04-18 |
| 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.