DR. RYAN M WOLFORT (NPI# 1578622619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578622619 |
Entity Type | Individual |
Full Name | DR. RYAN M WOLFORT |
Credential | MD |
Practice Address |
1501 Kings Hwy Shreveport LA 71130 |
Mailing Address |
812 Columbia St Shreveport LA 71104 |
Practice Telephone | 3186756111 |
Mailing Telephone | 3187736863 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2019-04-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 200078 | LA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
135 Highway 402, Napoleonville, LA 703902217 | 5043693600 | |
143 Highway 402 Ste 4, Napoleonville, LA 703902217 | 9853691083 | 9853691085 |
Street Address |
1501 KINGS HWY |
City | SHREVEPORT |
State | LA |
Zip Code | 71130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
1336747625 | Lana Nasief | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-09 |
1558968834 | Dinesh Regalla | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-08 |
1588261283 | Divleen Sidhu | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-06 |
1023624517 | Grace Hoffman | Pharmacist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-20 |
1194330761 | Yousef Hasan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
1790399277 | Ricardo Murguia Fuentes | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
1013521509 | Tahir Ahmad | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
1376155309 | Ayesha Malik | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-20 |
1104438324 | Elleny Gutierrez | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2020-08-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003444316 | Aya Mouhaffel | Student in an Organized Health Care Education/Training Program | 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 | 2020-03-31 |
1689144461 | John W Ratliff | Student in an Organized Health Care Education/Training Program | Ochsner, 1501, Shreveport, LA 71130 | 2018-12-05 |
1790284016 | Alex Michael Fuselier | Student in an Organized Health Care Education/Training Program | Urology, 1501 Kings Highway, Shreveport, LA 71130 | 2018-02-02 |
1043839962 | Sarah Mccann Mcneil | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Pediatrics, Shreveport, LA 71130 | 2020-04-10 |
1659900058 | Eunice Adu Dapaah | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130 | 2020-04-07 |
1750919106 | Christine Shaw | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 | 2020-03-31 |
1699303966 | Caitlin Hester Laird | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 | 2020-03-31 |
1942837950 | Gabriel Sampognaro | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Orthopaedic Surgery, Shreveport, LA 71130 | 2020-03-27 |
1679107049 | Negin Farsi | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Pathology, Shreveport, LA 71130 | 2020-02-25 |
1962035600 | Somdipto Das | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Oral Surgery, Shreveport, LA 71130 | 2020-02-21 |
Find all providers in zip 71130 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 |
---|---|---|---|---|
1730663907 | Ida Molavi | Surgery | Department of Surgery, 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2018-09-24 |
1962500850 | Minimally Invasive Surgery Center of Louisiana | Surgery | 1534 Elizabeth Ave Ste 400, Shreveport, LA 71101-4531 | 2006-09-21 |
1104846989 | Kevin Mark Sittig | Surgery | 1541 Kings Hwy Dept Of, Shreveport, LA 71103-4228 | 2006-07-21 |
1285670356 | George Robert Merriman II | Surgery | 949 Olive St, Shreveport, LA 71104-2103 | 2006-06-20 |
1417900416 | Milon G Karmakar | Surgery | 3300 Albert L Bicknell Dr, Suite 6, Shreveport, LA 71103-3903 | 2006-05-18 |
1821054214 | John Davidson Gladney | Surgery | 8001 Youree Drive, Suite 840, Shreveport, LA 71115-2302 | 2006-04-25 |
1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
1053315903 | James Booth Burke | Surgery | 1202 Louisiana Avenue, Shreveport, LA 71101-3910 | 2005-06-09 |
1760486609 | William Lewis Norwood Jr. | Surgery | 2751 Albert Bicknell Drive, Suite 3a, Shreveport, LA 71103-3976 | 2005-06-09 |
1619588019 | Wk Minimally Invasive Surgery Center | Surgery | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2020-08-11 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71130 |
Please comment or provide details below to improve the information on DR. RYAN M WOLFORT.
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.