DR. RYAN M WOLFORT


Address: 1501 Kings Hwy, Shreveport, LA 71130
Phone: 3186756111

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 200078 LA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
135 Highway 402, Napoleonville, LA 703902217 5043693600
143 Highway 402 Ste 4, Napoleonville, LA 703902217 9853691083 9853691085

Office Location

Street Address 1501 KINGS HWY
City SHREVEPORT
State LA
Zip Code 71130

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SHREVEPORT
Zip Code 71130

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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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