ETHICUS HOSPITAL-SHREVEPORT, LLC (NPI# 1649201104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649201104 |
| Entity Type | Organization |
| Organization Name | ETHICUS HOSPITAL-SHREVEPORT, LLC |
| Practice Address |
2105 Airline Dr Bossier City LA 71111-3105 |
| Mailing Address |
3 Riverway Suite 1810 Houston TX 77056-1919 |
| Practice Telephone | 7135722222 |
| Practice Fax Number | 7135722273 |
| Mailing Telephone | 7135722222 |
| Mailing Fax Number | 7135722273 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT A. LOEPP JR. (PRESIDENT) |
| Authorized Official Telephone | 3182186411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | APPLIED FOR | LA | Hospitals |
| Street Address |
2105 AIRLINE DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264211 | Kurt Thomas Grozinger | Radiology | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2005-06-09 |
| 1821223991 | Bossier Specialty Hospital,llc | General Acute Care Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2009-05-19 |
| 1689829400 | Ahp of Western Louisana, LLC | Anesthesiology | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2008-11-20 |
| 1740430156 | Ahp of Western Louisiana LLC | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2008-09-22 |
| 1295858751 | Jon Patrick Jeffcoat | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2007-04-09 |
| 1851402655 | Martic Smith | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2006-08-31 |
| 1750345419 | Bossier Specialty Hospital LLC | Special Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2006-04-12 |
| 1265410583 | Radiology Imaging Associates, LLP | Radiology | 2105 Airline Dr, Radiology Department, Bossier City, LA 71111-3105 | 2006-01-06 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821223991 | Bossier Specialty Hospital,llc | General Acute Care Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2009-05-19 |
| 1003968579 | Willis Knighton Medical Center, Inc. | General Acute Care Hospital | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1033746599 | Just Health | General Acute Care Hospital | 1 Galleria Blvd Ste 1100, Metairie, LA 70001-7534 | 2020-03-25 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1275081465 | East Jefferson General Hospital | General Acute Care Hospital | 3726 Houma Blvd, Metairie, LA 70006-4116 | 2016-09-15 |
| 1194273508 | Deana Leonard | General Acute Care Hospital | 173 Rue De Levert, Raceland, LA 70394-2057 | 2016-09-14 |
| 1295100071 | Borne 2b-np,llc | General Acute Care Hospital | 28672 Berry Todd Rd, Lacombe, LA 70445-3750 | 2015-12-05 |
| 1740658525 | Greenlight Transportation | General Acute Care Hospital | 7170 Pinebrook Dr, New Orleans, LA 70128-4623 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| 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.