JOHN G UNDERWOOD II (NPI# 1619937802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619937802 |
| Entity Type | Individual |
| Full Name | JOHN G UNDERWOOD II |
| Credential | M.D. |
| Practice Address |
9091 Ellerbe Rd Ste 200 Shreveport LA 71106-6738 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3186811630 |
| Practice Fax Number | 3186811632 |
| Mailing Telephone | 4692822711 |
| Mailing Fax Number | 4692820996 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | L03841 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1300675 | 05 | |
| CONTROLLED DEA | AU7338216 | 01 | |
| LA | STATE DEA | 7930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649207622 | John Franklin Underwood | Dentist | 1 Jarrett White Rd. Bldg. 320, Tripler Amc, HI 96859-5000 | 2006-06-27 |
| 1962467555 | John Randall Underwood | Anesthesiology | 400 N Pennsylvania Ave Ste 570, Roswell, NM 88201-4792 | 2006-04-18 |
| 1508391194 | John Scott Underwood | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2017-04-20 |
| 1174981286 | John M. Underwood | Nurse Anesthetist, Certified Registered | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2016-02-03 |
| 1528080546 | John L Underwood | Emergency Medicine | 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 | 2006-07-25 |
| Street Address |
9091 ELLERBE RD STE 200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-6738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801870415 | Stephen M Beene | Specialist | 9091 Ellerbe Rd, Suite 200, Shreveport, LA 71106-6738 | 2005-12-06 |
| 1487918454 | Greg Brown, Md, LLC | Behavioral Analyst | 9091 Ellerbe Rd, Suite 200b, Shreveport, LA 71106-6738 | 2012-06-25 |
| 1932488525 | Gregory P Guerin | Counselor | 9091 Ellerbe Rd, Suite 200 B, Shreveport, LA 71106-6738 | 2011-08-12 |
| 1922235597 | Peter H. Nasser | Dentist | 9091 Ellerbe Rd, Suite 500, Shreveport, LA 71106-6738 | 2009-06-22 |
| 1497966907 | Kyle K. Runnels | Psychiatry & Neurology | 9091 Ellerbe Rd, Suite 200 B, Shreveport, LA 71106-6738 | 2007-05-25 |
| 1689768897 | Kenneth Wayne Mouser | Dentist | 9091 Ellerbe Rd, Suite 300, Shreveport, LA 71106-6738 | 2006-10-03 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790315026 | Cody Tingle Md LLC | Internal Medicine | 535 Pierremont Rd, Shreveport, LA 71106-2207 | 2020-01-26 |
| 1538654306 | Masri Group LLC | Internal Medicine | 3801 Creswell Ave Unit 19, Shreveport, LA 71106-1257 | 2018-06-25 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1760923064 | Martin Marak | Internal Medicine | 847 Prospect St, Shreveport, LA 71104-3025 | 2017-03-20 |
| 1265883482 | Vari LLC | Internal Medicine | 506 Rock Hollow Dr, Shreveport, LA 71115-2502 | 2016-06-29 |
| 1598140121 | Mihir V Patel Md LLC | Internal Medicine | 9930 Loveland Ct, Shreveport, LA 71106-7795 | 2015-07-24 |
| 1619357209 | Chad Michael Gibson | Internal Medicine | 8001 Youree Dr Ste 4007, Shreveport, LA 71115-2302 | 2015-06-09 |
| 1265829394 | Amanda Lynn Callegan-poche' | Internal Medicine | 1023 Provenance Pl Ste 130, Shreveport, LA 71106-7796 | 2015-04-15 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1477807980 | Ronald Baylis George | Internal Medicine | 1821 Willow Point Drive, Shreveport, LA 71119 | 2012-11-06 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on JOHN G UNDERWOOD II.
| 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.