SHREVEPORT VAMC (NPI# 1457307522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457307522 |
Entity Type | Organization |
Organization Name | SHREVEPORT VAMC |
Other Organization Name | LONGVIEW VA CBOC |
Practice Address |
1005 N Eastman Rd Longview TX 75601-4231 |
Mailing Address |
Po Box 94538 Cleveland OH 44101 |
Practice Telephone | 6153553451 |
Mailing Telephone | 6153553451 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2017-09-26 |
Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Longview VA CBOC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417996489 | Shreveport Vamc | Clinic/Center | 910 Realtor Road, Texarkana, AR 71854-1020 | 2006-06-05 |
1649218090 | Shreveport Vamc | Clinic/Center | 1691 Bienville Dr, Monroe, LA 71201-3756 | 2006-06-04 |
1639567993 | Shreveport Vamc | Clinic/Center | 3000 Knight St, Building 5, Shreveport, LA 71105-2502 | 2015-01-08 |
1891745626 | Shreveport Vamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-05-11 |
1982652145 | Shreveport Vamc | Department of Veterans Affairs (VA) Pharmacy | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-05-04 |
Street Address |
1005 N EASTMAN RD |
City | LONGVIEW |
State | TX |
Zip Code | 75601-4231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487638532 | Rozina Parveen | Internal Medicine | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2005-12-02 |
1619471505 | Susan Hughes | Dietitian, Registered | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2018-03-23 |
1457861148 | James Lee | Nurse Practitioner | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2017-10-06 |
1881017804 | Debra Mcnamara | Nurse Practitioner | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2014-01-27 |
1205178993 | Betty Jane Witherspoon | Social Worker | 1005 N Eastman Rd, Va Cboc, Longview, TX 75601-4231 | 2013-03-21 |
1780985820 | Brittany Lin Hess | Nutritionist | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2010-11-05 |
1174850788 | Richard Paul Delk | Audiologist | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2009-11-03 |
1023221413 | Ravikumar Hanumanthaiah Edalur | Emergency Medicine | 1005 N Eastman Rd, None, Longview, TX 75601-4231 | 2007-05-08 |
1457440034 | Shaunna Sue Mitchell | Family Medicine | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
Find all providers in zip 75601 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851348999 | Longview Va Clinic | Clinic/Center | 1801 1st Ave, Suite 4c, Longview, WA 98632-3270 | 2006-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285241711 | Houston Vamc | Clinic/Center | 1327 Lake Pointe Pkwy Ste 520, Sugar Land, TX 77478-4096 | 2020-09-29 |
1720605629 | El Paso Vamc | Clinic/Center | 5229 Sanders Ave, El Paso, TX 79924-6409 | 2020-06-26 |
1427671627 | San Antonio Vamc | Clinic/Center | 16019 Nacogdoches Rd Ste 101, San Antonio, TX 78247-1128 | 2020-05-21 |
1568097491 | El Paso Vamc | Clinic/Center | 1870 Northwestern Drive, El Paso, TX 79912-9998 | 2020-03-11 |
1902444607 | El Paso Vamc | Clinic/Center | 350 Revere Street, El Paso, TX 79905-9998 | 2019-12-13 |
1982178190 | El Paso Vamc | Clinic/Center | 1250b E Cliff Dr, El Paso, TX 79902-4823 | 2019-01-22 |
1508313149 | Dallas Vamc | Clinic/Center | 3804 West 15th Street, Suite 175, Plano, TX 75075-4752 | 2016-09-01 |
1194180406 | San Antonio Vamc | Clinic/Center | 526 E Court St, Seguin, TX 78155-5712 | 2015-12-31 |
1649645672 | Dallas Vamc | Clinic/Center | 1518 E Lancaster Avenue, Suite A, Fort Worth, TX 76102-6775 | 2015-12-02 |
1073998431 | Dallas Vamc | Clinic/Center | 4900 S Lancaster Rd, Dallas, TX 75216-7402 | 2015-07-28 |
Find all providers with the same taxonomy |
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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.