MRS. CASEY HARRIS PAYNE


Address: 9220 Ellerbe Rd, Ste 700, Shreveport, LA 71105-6709
Phone: 3186815282

MRS. CASEY HARRIS PAYNE (NPI# 1356411565) 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) 1356411565
Entity Type Individual
Full Name MRS. CASEY HARRIS PAYNE
Other Name MISS CASEY MICHELLE HARRIS
Credential PA
Practice Address 9220 Ellerbe Rd
Ste 700
Shreveport
LA 71105-6709
Mailing Address 2900 Saint Michael Dr Ste 401
Texarkana
TX 75503-5211
Practice Telephone 3186815282
Practice Fax Number 3186815284
Mailing Telephone 9036145383
Mailing Fax Number 9036145343
Enumeration Date 2006-11-08
Last Update Date 2018-02-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine PA200090 LA Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant PA200090 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 336774001 05
LA 1805963 05

Other Providers CASEY PAYNE

NPI Name Taxonomy Address Enumeration
1275058455 Casey Payne Pharmacist 6130 Us 49, Hattiesburg, MS 39401 2017-08-08
1760770309 Casey R Payne Physical Therapist 11995 Singletree Ln Ste 120, Eden Prairie, MN 55344-5338 2011-07-18
1093100638 Casey Lee Payne General Practice 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 2015-03-31

Office Location

Street Address 9220 ELLERBE RD
STE 700
City SHREVEPORT
State LA
Zip Code 71105-6709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861415093 Joseph Malcolm Lattier Jr. Dentist 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106-6739 2006-07-26
1053541565 Jode Jann Burgin Family Medicine 9220 Ellerbe Rd, Suite 700, Shreveport, LA 71106-6739 2009-07-17
1265661367 Richard Andrew Simpson Dentist 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106-6739 2009-07-09
1174734818 Gretchen G Petterway Pediatrics 9220 Ellerbe Rd, Suite 700, Shreveport, LA 71106-6739 2007-05-24
1992871040 John E Stafford Dentist 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106 2006-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1205301868 Tatjhana Maury Case Manager/Care Coordinator 3325 Youree Drive, Shreveport, LA 71105 2018-10-10
1245710920 Jefferey Douglas Adair Md Non-Pharmacy Dispensing Site 8860 Fern Ave., Suite 120, Shreveport, LA 71105 2018-08-21
1679059539 Michael E Woolbert Dds LLC Dentist 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 2018-07-13
1881195675 Adiba Bibi Pharmacist 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 2018-02-27
1740796655 Allison Borel Counselor 2020 E 70th St Ste 201, Shreveport, LA 71105 2017-12-15
1073028148 Valerie Wooten Barcelona Physical Therapist 130 Kayla Street, Shreveport, LA 71105 2017-12-11
1710497615 Jimmy Carroll Counselor 2960 Knight St, Suite 110, Shreveport, LA 71105 2017-10-05
1932618444 David Louis Bennett Counselor 3007 Knight St., Suite 200, Shreveport, LA 71105 2017-09-27
1619496452 Shaqwana Hodge Counselor 2920 Knight St. Suite 110, Shreveport, LA 71105 2017-09-13
Find all providers in zip 71105

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740829217 Bno Surgical Consultants, LLC Physician Assistant 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 2020-01-02
1497394076 Midday Surgical Consultants, LLC Physician Assistant 550 Linden St, Shreveport, LA 71104-4426 2019-12-31
1225677800 Geaux Surgical Consultants, LLC Physician Assistant 370 Gallier Pl, Shreveport, LA 71106-8377 2019-12-31
1962041541 Ace Surgical Consultants, LLC Physician Assistant 11045 Gabriels Path, Shreveport, LA 71106-7791 2019-12-31
1013499763 Kristi Harrison Gaspard Physician Assistant 2508 Bert Koun Loop Ste 106, Shreveport, LA 71118-3175 2018-08-29
1295216125 Heather White Physician Assistant 745 Olive St Ste 200, Shreveport, LA 71104-2246 2018-08-28
1285143669 Kara Forbis Physician Assistant 2600 Kings Hwy Ste 420, Shreveport, LA 71103-3950 2017-09-28
1144748195 Catherine Murphy Rogers Physician Assistant 2727 Hearne Ave Ste 300, Shreveport, LA 71103-3918 2017-08-30
1972955474 Robin Egan Physician Assistant 1811 E Bert Koun Loop Ste 200, Shreveport, LA 71105-5766 2016-07-07
1457733198 Brfhh Shreveport LLC Physician Assistant 1541 Kings Highway, Shreveport, LA 71103-4228 2015-06-18
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71105

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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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