CHILDRENS ACUTE CARE INC (NPI# 1467602755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467602755 |
| Entity Type | Organization |
| Organization Name | CHILDRENS ACUTE CARE INC |
| Practice Address |
1 Saint Mary Pl Box 40 Shreveport LA 71101-4343 |
| Mailing Address |
1333 N Buffalo Dr Suite 290 Las Vegas NV 89128-3636 |
| Practice Telephone | 3186816433 |
| Practice Fax Number | 3186816448 |
| Mailing Telephone | 7023957095 |
| Mailing Fax Number | 7023953502 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2013-02-22 |
| Authorized Official Name | FRANK R GIOIA (PRESIDENT) |
| Authorized Official Telephone | 7023957095 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 196704401 | 05 | |
| AR | 176930002 | 05 | |
| LA | 1321664 | 05 |
| Street Address |
1 SAINT MARY PL BOX 40 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254198 | Walter E Bounds | Emergency Medicine | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2005-06-10 |
| 1083085005 | Valient Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-16 |
| 1356712509 | Sahara Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-14 |
| 1164807723 | Amy Hollis Norcross | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-07-24 |
| 1114270261 | Ghassan Fouad Hamdan | Pharmacist | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2012-10-25 |
| 1730466053 | Michelle Moore Haynie | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2011-11-15 |
| 1104142769 | Laura Christine Brooks | Nurse Practitioner | 1 Saint Mary Pl, Nicu, Shreveport, LA 71101-4343 | 2010-04-07 |
| 1154656494 | Paul Wesley Chism | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2009-10-05 |
| 1902030273 | Shannon Leonnie Youngblood | Nurse Anesthetist, Certified Registered | 1 Saint Mary Pl, Pfs-pro Billing, Shreveport, LA 71101-4343 | 2009-05-14 |
| 1265688667 | Louisiana Em-1 Medical Services, PC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2008-08-18 |
| Find all providers in the same location | ||||
| 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 | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558723429 | Courtney Jacobs | Pediatrics | 864 S Clearview Pkwy, Apt 136, River Ridge, LA 70123-6323 | 2016-03-22 |
| 1518161736 | Ronald Anthony Hardey | Pediatrics | 201 Bent Tree Trl, Lafayette, LA 70508-7048 | 2007-06-12 |
| 1922080126 | Maria Stella Serrano | Pediatrics | 1315 Jefferson Highway, New Orleans, LA 70121 | 2005-11-15 |
| 1780003798 | Molly Sonenklar | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2014-04-08 |
| 1558618173 | Shamicka North | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2012-08-14 |
| 1912282831 | Our Lady of The Lake Physician Group LLC | Pediatrics | 7777 Hennessy Blvd, Ste 6002, Baton Rouge, LA 70808-4300 | 2011-10-12 |
| 1316261316 | Emily Jo Harrison | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2010-03-19 |
| 1881835866 | Hitesh Dhiraj Chheda | Pediatrics | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2009-03-20 |
| 1285825315 | Andrea Catherine Suen | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2007-08-05 |
| 1568663771 | Children's Hospital | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2007-05-29 |
| Find all providers with the same taxonomy | ||||
| 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.