JOSEPH ANTHONY BOCCHINI JR. (NPI# 1760402630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760402630 |
| Entity Type | Individual |
| Full Name | JOSEPH ANTHONY BOCCHINI JR. |
| Credential | M.D. |
| Practice Address |
1501 Kings Hwy Department of Pediatrics, Chairman Shreveport LA 71103-4228 |
| Mailing Address |
2032 Elizabeth Ave Shreveport LA 71104-2123 |
| Practice Telephone | 3186758601 |
| Practice Fax Number | 3186758872 |
| Mailing Telephone | 3186980035 |
| Mailing Fax Number | 3186980078 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
03937R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1171166 | 05 | |
| LA | MEDICARE - PTAN | 5J243F600 | 01 |
| Street Address |
1501 KINGS HWY DEPARTMENT OF PEDIATRICS, CHAIRMAN |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
| 1336747625 | Lana Nasief | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-09 |
| 1558968834 | Dinesh Regalla | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-08 |
| 1588261283 | Divleen Sidhu | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-06 |
| 1023624517 | Grace Hoffman | Pharmacist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-20 |
| 1194330761 | Yousef Hasan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1790399277 | Ricardo Murguia Fuentes | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1013521509 | Tahir Ahmad | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1376155309 | Ayesha Malik | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-20 |
| 1104438324 | Elleny Gutierrez | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871673111 | John Anthony Vanchiere | Pediatrics | 1501 Kings Hwy # 5-303, Shreveport, LA 71103-4228 | 2006-10-17 |
| 1689221020 | Wk Childrens Health Specialists | Pediatrics | 2032 Elizabeth Ave, Shreveport, LA 71104-2123 | 2019-08-21 |
| 1013948322 | Lisa Smith Hodges | Pediatrics | 1501 Kings Hwy, Department of Internal Medicine, Infectious Diseases, Shreveport, LA 71103-4228 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942537378 | Gayatri Mirani | Pediatrics | 2601 Tulane Ave, 500, New Orleans, LA 70119-7462 | 2009-11-05 |
| 1487864708 | Michael Todd Bolton | Pediatrics | 7777 Hennessy Blvd, Suite 502, Baton Rouge, LA 70808-4300 | 2007-05-23 |
| 1265527469 | Richard Oberhelman | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-04 |
| 1972698132 | Russell Barrett Vandyke | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-04 |
| 1003901232 | James Robinson | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-04 |
| 1508950247 | Lorna M Seybolt | Pediatrics | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2006-10-03 |
| 1053405308 | Margarita Silio | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-03 |
| 1023031077 | Rodolfo E Begue | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2006-07-25 |
| 1912976374 | Russell Wesley Steele | Pediatrics | 1315 Jefferson Hwy, New Orleans, LA 70121 | 2006-03-16 |
| 1669467809 | Frank Jude Bissant | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2005-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.