DR. RODRIC MARSH YEAGER (NPI# 1598001687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598001687 |
Entity Type | Individual |
Full Name | DR. RODRIC MARSH YEAGER |
Credential | M.D. |
Practice Address |
7717 Creswell Rd 46 Shreveport LA 71106-6000 |
Practice Telephone | 3188688650 |
Mailing Telephone | 3188688650 |
Enumeration Date | 2012-12-18 |
Last Update Date | 2012-12-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD009988 | LA | Allopathic & Osteopathic Physicians |
Street Address |
7717 CRESWELL RD 46 |
City | SHREVEPORT |
State | LA |
Zip Code | 71106-6000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
Find all providers in zip 71106 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 |
---|---|---|---|---|
1164435475 | Stephen Collier White | Surgery | 1455 E Bert Kouns, Highland Clinic, Apmc, Shreveport, LA 71105 | 2006-08-15 |
1396785945 | Milton Slocum | Surgery | 3300 Albert L Bicknell Dr Ste 3d, Shreveport, LA 71103-3903 | 2006-06-08 |
1912901794 | Charles D Knight Jr. | Surgery | 1455 E Bert Kouns Industrial Loop Ste 202, Shreveport, LA 71105-5634 | 2005-06-09 |
1245522564 | Miles A Sugar II | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-05-04 |
1598096240 | Wk Vascular Surgical Associates | Surgery | 2751 Albert L Bicknell Dr, Suite 5a, Shreveport, LA 71103-3920 | 2010-01-20 |
1285897132 | Chiranjiv Singh Virk | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2008-07-09 |
1851433478 | William L. Eddleman, Md, Apmc | Surgery | 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 | 2007-02-12 |
1538209697 | Fredrick Willius Knight | Surgery | 2751 Albert L Bicknell Dr, Suite 5-a, Shreveport, LA 71103-3920 | 2007-02-07 |
1669413787 | Robert L Barrett | Surgery | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2006-06-09 |
1275572265 | William Loy Eddleman | Surgery | 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 | 2006-06-05 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71106 |
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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.