NORTHWEST SURGICAL SPECIALISTS INC.


Address: 1801 Fairfield Ave, Suite 408, Shreveport, LA 71101-4468
Phone: 3186751322

NORTHWEST SURGICAL SPECIALISTS INC. (NPI# 1457531089) 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) 1457531089
Entity Type Organization
Organization Name NORTHWEST SURGICAL SPECIALISTS INC.
Practice Address 1801 Fairfield Ave
Suite 408
Shreveport
LA 71101-4468
Practice Telephone 3186751322
Practice Fax Number 3186751332
Mailing Telephone 3186751322
Mailing Fax Number 3186751332
Enumeration Date 2007-11-12
Last Update Date 2012-01-09
Authorized Official Name DR. MICHELLE ANTOINETTE PITTMAN (OWNER)
Authorized Official Telephone 3186751322
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
201400 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1041611 05

Office Location

Street Address 1801 FAIRFIELD AVE
SUITE 408
City SHREVEPORT
State LA
Zip Code 71101-4468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932105483 Michael A Holy Ophthalmology 1801 Fairfield Ave, Ste 101, Shreveport, LA 71101-4457 2005-06-21
1033482492 Stephanie Ann Presley Nurse Practitioner 1801 Fairfield Ave, Suite #301, Shreveport, LA 71101-4443 2012-02-15
1598045551 Emily Downs Counselor 1801 Fairfield Ave, Suite 409, Shreveport, LA 71101-4443 2011-08-23
1275836264 W. Ronald Skowsky, Md. LLC. Specialist 1801 Fairfield Ave, Ste 307, Shreveport, LA 71101-4443 2010-12-13
1407189772 Eyecare Specialists of Louisiana Ophthalmology 1801 Fairfield Ave, Suite 103, Shreveport, LA 71101-4457 2009-09-17
1154561223 Bellah Medical, LLC Psychiatry & Neurology 1801 Fairfield Ave, Suite 409, Shreveport, LA 71101-4443 2009-03-02
1831334051 Pediatric Gi Specialists, LLC Pediatrics 1801 Fairfield Ave, Suite 305, Shreveport, LA 71101-4467 2008-12-03
1831350016 Saimah Talukder Obstetrics & Gynecology 1801 Fairfield Ave, Suite 401, Shreveport, LA 71101-4443 2008-06-20
1114187713 Marsha A. Friedrich Md Specialist 1801 Fairfield Ave, Suite 207, Shreveport, LA 71101-4443 2008-06-17
1790956068 Rajan Khanna Md Apmc Internal Medicine 1801 Fairfield Ave, Suite 303, Shreveport, LA 71101-4443 2008-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255988630 Renee Jewitt Case Manager/Care Coordinator 1513 Line Avenue, Suite 225, Shreveport, LA 71101 2019-08-21
1942770094 Bessie Larry Case Manager/Care Coordinator 1513 Line Av, 222, Shreveport, LA 71101 2018-12-03
1750875944 Jarvis Decarleonne Larry Community Health Worker 1513 Line Ave # 222, Shreveport, LA 71101 2018-06-20
1871083485 Kimberly B. Mcclelland, Lcsw Counselor 820 Jordan St. Ste 510w, Shreveport, LA 71101 2018-05-18
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1528572955 Spencer Ron Floyd Counselor 1717 Marshall Street, Shreveport, LA 71101 2017-11-21
1578088076 Brittany Morris Case Manager/Care Coordinator 1835 Spring Street Annex Building, Shreveport, LA 71101 2017-08-07
1275058794 Diane Williams Case Manager/Care Coordinator 217 Jones St Apt 510, Shreveport, LA 71101 2017-08-04
1386195972 Jakeya Woodbury Counselor 453 Stoner Ave, Shreveport, LA 71101 2016-10-18
1922459643 Arlene Huling Counselor 449 Egan Street, Shreveport, LA 71101 2016-06-23
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Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740460351 Michelle Antoinette Pittman Surgery 1801 Fairfield Ave, Suite 408, Shreveport, LA 71101-4443 2007-11-12
1427088079 Mark Richard Mainous Surgery 8001 Youree Dr, Suite 840, Shreveport, LA 71115-2302 2006-07-03
1801870647 John Owings Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2005-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801181383 Shahrzad Talebinejad Surgery 15770 Paul Vega Md Dr Ste 108a, Hammond, LA 70403 2011-06-13
1710203518 Patrick Ryan Mcgrew Surgery 1430 Tulane Ave Ste 8530, New Orleans, LA 70112-2632 2010-04-19
1104093293 Marquinn Dewan Duke Surgery 15813 Paul Vega Md Drive, Suite 100a, Hammond, LA 70403-1434 2008-05-08
1962606194 Donald Ray Cowick Surgery 4301 Elysian Fields, New Orleans, LA 70122 2007-06-12
1376624213 Juan C Duchesne Surgery 1430 Tulane Ave # Sl-22, New Orleans, LA 70112-2632 2006-10-18
1750601357 Charles Townsend Harris Surgery 1415 Tulane Ave Fl 6, New Orleans, LA 70112 2010-06-04
1366766321 Benjamin Reeves Martinez Surgery 7777 Hennessy Blvd, Suite 700, Baton Rouge, LA 70808-4300 2010-03-19
1356585533 Chrissy Guidry Surgery 1430 Tulane Ave, New Orleans, LA 70112-2632 2009-05-01
1013134626 Michael Edward Fahr Surgery 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 2007-04-18
1184635609 John Patrick Hunt Surgery 2021 Perdido St, New Orleans, LA 70112-1352 2006-08-10
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Competitor

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City SHREVEPORT
Zip Code 71101

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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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