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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
201400 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1041611 | 05 |
Street Address |
1801 FAIRFIELD AVE SUITE 408 |
City | SHREVEPORT |
State | LA |
Zip Code | 71101-4468 |
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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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 |
Find all providers in zip 71101 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
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. |
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 |
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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City | SHREVEPORT |
Zip Code | 71101 |
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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.