LEISA JOAN ROAN (NPI# 1568078392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568078392 |
| Entity Type | Individual |
| Full Name | LEISA JOAN ROAN |
| Credential | NP |
| Practice Address |
2539 Viking Dr Ste 100 Bossier City LA 71111-1611 |
| Mailing Address |
2539 Viking Dr Ste 101 Bossier City LA 71111-2165 |
| Practice Telephone | 3187478100 |
| Practice Fax Number | 3187478150 |
| Mailing Telephone | 3187478100 |
| Mailing Fax Number | 3187478150 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 214754 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2539 VIKING DR STE 100 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629577895 | First Care Bossier | Clinic/Center | 2539 Viking Dr Ste 100, Bossier City, LA 71111-1611 | 2018-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005136 | Partners In Primary Care La PC | Family Medicine | 2900 E Texas St Ste 100, Bossier City, LA 71111-3275 | 2020-05-20 |
| 1558922989 | Premier Medicine LLC | Family Medicine | 5015 Shed Rd Ste 400, Bossier City, LA 71111-5585 | 2019-06-26 |
| 1710425574 | Bowman Family Medicine Clinic, LLC | Family Medicine | 1007 Gould Drive, Building 3, Suite 4, Bossier City, LA 71111 | 2017-02-01 |
| 1538591060 | Airline Urgent Care | Family Medicine | 2008 Airline Dr, Suite #100, Bossier City, LA 71111-2946 | 2013-08-07 |
| 1841589140 | Anthony Todd Flowers | Family Medicine | 1000 Chinaberry Dr Ste 802, Bossier City, LA 71111 | 2011-04-07 |
| 1982713483 | Carter Jesse Boyd | Family Medicine | 1518 Doctors Dr, Bossier City, LA 71111-3322 | 2006-08-29 |
| 1689694085 | Scott Savid Zaleski | Family Medicine | 243 Curtiss Ln, Barksdale Afb, La, Suite 100, Bossier City, LA 71110 | 2006-07-20 |
| 1801824651 | John Mac Chandler | Family Medicine | 2300 Hospital Dr Ste 200, Bossier City, LA 71111-2166 | 2006-06-29 |
| 1841241007 | Corine H. Bowman | Family Medicine | 1007 Gould Dr Building 3, Suite 4, Bossier City, LA 71111-4971 | 2006-05-13 |
| 1194794800 | Aaron L. Lirette | Family Medicine | 2300 Hospital Dr., Suite 180, Bossier City, LA 71111 | 2006-03-15 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.