JASON BROUSSARD (NPI# 1376744771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376744771 |
| Entity Type | Individual |
| Full Name | JASON BROUSSARD |
| Credential | D.O. |
| Practice Address |
2551 Greenwood Rd Suite 230 Shreveport LA 71103-3981 |
| Practice Telephone | 3182128424 |
| Practice Fax Number | 3182128459 |
| Mailing Telephone | 3182128424 |
| Mailing Fax Number | 3182128459 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DO.000136 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2551 GREENWOOD RD SUITE 230 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061959 | Amit Ahuja | Internal Medicine | 2551 Greenwood Rd, Suite 350, Shreveport, LA 71103-3981 | 2005-05-31 |
| 1457884819 | Wk Center for Endocrinology and Diabetes | Internal Medicine | 2551 Greenwood Rd, Suite 411, Shreveport, LA 71103-3981 | 2017-04-04 |
| 1053762146 | Caleb Harkins | Nurse Practitioner | 2551 Greenwood Rd, Suite #210, Shreveport, LA 71103-3981 | 2016-06-29 |
| 1538513429 | Wk Tri- State Neurosurgery Associates | Neurological Surgery | 2551 Greenwood Rd, Suite 320, Shreveport, LA 71103-3981 | 2016-04-18 |
| 1417326927 | Wk Advanced Laparoscopic and Robotic Surgery Specialists | Surgery | 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103-3981 | 2015-09-15 |
| 1942678511 | James Reginald Hall IIi | Nurse Practitioner | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2015-09-12 |
| 1437545282 | Wk North Hospitalists Group | Hospitalist | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2015-04-08 |
| 1891198354 | Julie Kajor Broadwell | Physician Assistant | 2551 Greenwood Rd, Suite 140, Shreveport, LA 71103-3981 | 2014-09-29 |
| 1124467733 | Ambrosia T. Holsapple | Nurse Practitioner | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2013-06-17 |
| 1528406915 | Wkn Tristate Neurology Clinic | Neurological Surgery | 2551 Greenwood Rd, Suite 240, Shreveport, LA 71103-3981 | 2013-06-07 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235739 | Precision Telemed, LLC | Psychiatry & Neurology | 8977 Brandon Dr, Shreveport, LA 71118-2341 | 2020-11-02 |
| 1992165591 | Alinejad Wellness,inc | Psychiatry & Neurology | 1066 Rochel Dr, Shreveport, LA 71115-3889 | 2016-02-25 |
| 1255775052 | Shawn E. Mcneil | Psychiatry & Neurology | 1111 Line Ave Fl 3, Shreveport, LA 71101 | 2013-04-23 |
| 1609194356 | Wk Center for Psychiatric Support | Psychiatry & Neurology | 1111 Line Ave 3rd Floor Tower 2, Shreveport, LA 71101-3981 | 2010-05-05 |
| 1982836284 | Patrick E. Sewell Sr. | Psychiatry & Neurology | 3311 Line Ave., Shreveport, LA 71104 | 2009-08-20 |
| 1740481506 | Anshuman Jyoti | Psychiatry & Neurology | 2508 Bert Kouns Industrial Loop Ste 203, Shreveport, LA 71118-3175 | 2007-05-30 |
| 1942411483 | Kenneth Gregory Stephens | Psychiatry & Neurology | 727 Edgemont St, Shreveport, LA 71106-2223 | 2007-05-25 |
| 1770794083 | Devanshi K. Jani | Psychiatry & Neurology | 1666 E. Bert Kouns, Suite 220, Shreveport, LA 71105-5714 | 2007-05-25 |
| 1669584876 | Cecil Clifton Dopson Jr. | Psychiatry & Neurology | 610 Herndon St, Shreveport, LA 71101-4704 | 2006-09-01 |
| 1588773675 | Frances Edna Hagaman | Psychiatry & Neurology | 2924 Knight St, Building 3 Suite 350, Shreveport, LA 71105-2415 | 2006-08-30 |
| 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.