PULMONARY CARE CLINIC, LLC (NPI# 1699727412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699727412 |
| Entity Type | Organization |
| Organization Name | PULMONARY CARE CLINIC, LLC |
| Practice Address |
8001 Youree Dr Suite 970 Shreveport LA 71115-2302 |
| Practice Telephone | 3187985664 |
| Mailing Telephone | 3187985664 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT J LONG (OWNER) |
| Authorized Official Telephone | 3187985664 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
========= | LA | Allopathic & Osteopathic Physicians |
| Street Address |
8001 YOUREE DR SUITE 970 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306177 | Stephanie Ann Sockrider | Obstetrics & Gynecology | 8001 Youree Dr, Ste 900, Shreveport, LA 71115-2326 | 2005-06-15 |
| 1376174797 | Jaime Hulsey | Pharmacist | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2020-02-04 |
| 1942857784 | Pam Specialty Hospital of Shreveport LLC | Long Term Care Hospital | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2019-08-26 |
| 1073049995 | Holly Johnson | Nurse Practitioner | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2302 | 2017-05-11 |
| 1598290249 | Wk Pelvic & Reconstructive Surgery | Urology | 8001 Youree Dr, Suite 370, Shreveport, LA 71115-2302 | 2017-05-01 |
| 1871043836 | Willis-knighton Medical System | General Acute Care Hospital | 8001 Youree Dr, 370, Shreveport, LA 71115-2302 | 2016-10-13 |
| 1013375278 | Wk Center for Neurosurgery At Pierremont | Neurological Surgery | 8001 Youree Dr, Suite 850, Shreveport, LA 71115-2302 | 2016-02-03 |
| 1831579077 | Wk Internal Medicine Specialists | Internal Medicine | 8001 Youree Dr, Suite 550, Shreveport, LA 71115-2302 | 2015-06-03 |
| 1992194500 | Wk Urologic Cancer Care | Urology | 8001 Youree Dr, Suite 350, Shreveport, LA 71115-2302 | 2015-01-20 |
| 1164834206 | Jordan Austin Brice | Anesthesiology | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1104161843 | Christus Health and Lunn Pulmonology | Internal Medicine | 1455 E. Bert Kouns, Suite #202, Christus Health and Lunn Pulmonology, Shreveport, LA 71105 | 2012-12-06 |
| 1972569846 | Indira Sastry and Willis-knighton | Internal Medicine | 2533 Bert Kouns Loop, Suite 106, Shreveport, LA 71118-3158 | 2006-04-21 |
| 1548267578 | Howard Len Lippton | Internal Medicine | 2328 Line Ave, Shreveport, LA 71104 | 2005-07-06 |
| 1124023668 | Robert C. Holladay | Internal Medicine | 850 Olive St, Ste A, Shreveport, LA 71104-2162 | 2005-06-20 |
| 1134533169 | Prathik Krishnan | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2014-06-18 |
| 1235573361 | Matthew Colton Raley | Internal Medicine | 1501 Kings Hwy, Pulmonary Critical Care, Shreveport, LA 71103-4228 | 2013-04-19 |
| 1679816672 | Christus Schumpert Health System | Internal Medicine | 1455 E Bert Kouns Loop, Suite # 202, Shreveport, LA 71105-5634 | 2013-03-28 |
| 1821129560 | Pulmonary Medicine Associates | Internal Medicine | 850 Olive St, Suite A, Shreveport, LA 71104-2162 | 2007-03-07 |
| 1265529648 | Wk North Pulmonary & Critical Care | Internal Medicine | 2551 Greenwood Rd, Suite 210, Shreveport, LA 71103-3981 | 2006-10-06 |
| 1770683997 | Bryn-fincher Pulmonary & Critical Care | Internal Medicine | 2551 Greenwood Road, Ste 210, Shreveport, LA 71103-3905 | 2006-09-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
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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.