MED-CONSULT, INC (NPI# 1710237615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710237615 |
| Entity Type | Organization |
| Organization Name | MED-CONSULT, INC |
| Practice Address |
8575 Fern Ave Ste 110 Shreveport LA 71105-5677 |
| Practice Telephone | 3186988889 |
| Practice Fax Number | 3186988893 |
| Mailing Telephone | 3186988889 |
| Mailing Fax Number | 3186988893 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | GREGORY FORD GILBERT (ATTORNEY) |
| Authorized Official Telephone | 9167303000 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | C12615 | LA | Laboratories |
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
C12615 | LA | Ambulatory Health Care Facilities |
| Street Address |
8575 FERN AVE STE 110 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568714442 | Diabetic Life Pulse of Louisiana, LLC | General Practice | 8575 Fern Ave Ste 110, Shreveport, LA 71105-5677 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933230 | Specialty Infusion LLC | Clinic/Center | 1812 Avenue of America Ste 4, Monroe, LA 71201-4520 | 2019-07-15 |
| 1790272490 | Neuromend Infusion Center, LLC | Clinic/Center | 1700 Kaliste Saloom Rd Ste 601, Lafayette, LA 70508-6186 | 2018-04-18 |
| 1871926030 | Coram Alternate Site Services, Inc. | Clinic/Center | 4317 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9643 | 2013-08-12 |
| 1649563701 | Miss-lou Infusion Therapy | Clinic/Center | 1643 Carter Street, Suite 1, Vidalia, LA 71373 | 2011-05-24 |
| 1194784173 | Medical Infusion Therapy of La | Clinic/Center | 1525 Doctors Dr, Bossier City, LA 71111-3321 | 2006-03-20 |
| 1649623372 | Trina Health of Denham Springs, LLC | Clinic/Center | 2720 Rue De Jardin, Suite 100, Lake Charles, LA 70605-4050 | 2016-07-18 |
| 1043646805 | Fast Infusion Services | Clinic/Center | 3225 Danny Park, Suite 102, Metairie, LA 70002-5776 | 2013-09-24 |
| 1487854949 | Gastroenterology Clinic of Acadiana | Clinic/Center | 1211 Coolidge Blvd, Suite 303, Lafayette, LA 70503-2636 | 2007-07-23 |
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on MED-CONSULT, INC.
| 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.