DR. PAUL CORKRAN DAVIS (NPI# 1760472419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760472419 |
| Entity Type | Individual |
| Full Name | DR. PAUL CORKRAN DAVIS |
| Credential | M.D. |
| Practice Address |
1453 E Bert Koun Loop Ste 112 Shreveport LA 71105-6810 |
| Mailing Address |
Po Box 51008 Shreveport LA 71135-1008 |
| Practice Telephone | 3187989400 |
| Mailing Telephone | 3187989400 |
| Mailing Fax Number | 3187983894 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.018467 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD.018467 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 119005001 | 05 | |
| LA | 1912883 | 05 | |
| TX | 106834802 | 05 | |
| LA | RAILROAD MEDICARE | 060017099 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2727 Hearne Ave, Suite 300, Shreveport, LA 711033917 | 3187989400 | 3187983894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134441496 | Paul A. Davis | Social Worker | 3373 N Diamond Butte Way, Tucson, AZ 85745-7128 | 2010-02-26 |
| 1992940803 | Paul Frederic Davis | Dentist | 40217 North Shore Dr., Loon Lake, WA 99148-0765 | 2008-12-05 |
| 1922253251 | Paul Eugene Davis Jr. | Pathology | 10022 Pacific Ave, Franklin Park, IL 60131-1837 | 2008-12-01 |
| 1114197514 | Paul Douglas Davis | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2008-03-03 |
| 1750435574 | Paul Kenneth Davis | Massage Therapist | 715 Yelm Avenue West, Suite # 5, Yelm, WA 98597 | 2007-01-22 |
| 1356416259 | Paul Davis | Dentist | Audrey Egle Drive, Shepherdstown, WV 25443 | 2006-11-24 |
| 1558456079 | Paul Eugene Davis | Chiropractor | 751 N. 20th St., Ozark, MO 65721 | 2006-10-03 |
| 1821197484 | Paul Duane Davis | Family Medicine | 2373 W Main St Ste 102, Salem, WV 26426-7515 | 2006-09-21 |
| 1558466631 | Paul Thomas Davis II | Dentist | 220 Cherokee Rd # A, Florence, SC 29501-5225 | 2006-09-14 |
| 1831102730 | Paul E Davis | Social Worker | 1260 Monroe St Nw Ste 15h, New Philadelphia, OH 44663-4147 | 2006-08-14 |
| Street Address |
1453 E BERT KOUN LOOP STE 112 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290338 | Anna Elise Gould | Physician Assistant | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | 2020-09-18 |
| 1831742147 | Christina Marie Simpkins | Nurse Practitioner | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | 2019-07-17 |
| 1518450105 | Amanda Michelle Lewis | Nurse Practitioner | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | 2018-06-08 |
| 1710060280 | Eric Rodney Reeves | Internal Medicine | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | 2006-10-20 |
| 1477655876 | Percy Thomas Causey Jr. | Internal Medicine | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105 | 2006-09-05 |
| 1205842853 | Enrique Jimenez | Internal Medicine | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105 | 2006-08-01 |
| 1871512954 | Srikar Reddy Veerareddy | Internal Medicine | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | 2006-07-19 |
| 1851375349 | Ray David Smith | Internal Medicine | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | 2005-11-30 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972714889 | Sai Konduru | Internal Medicine | 2727 Hearne Ave Ste 301, Shreveport, LA 71103-3918 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639633274 | Posina Enterprises LLC | Internal Medicine | 5911 Settlers Dr, Alexandria, LA 71303-6007 | 2019-01-28 |
| 1235638321 | Cardiac and Peripheral Vascular Services, LLC | Internal Medicine | 8050 W Judge Perez Dr Ste 2800, Chalmette, LA 70043-1740 | 2018-02-05 |
| 1629576996 | Cardiac Cin of Louisiana LLC | Internal Medicine | 3436 Magazine St Ste 550, New Orleans, LA 70115-2413 | 2018-01-31 |
| 1275031544 | Cardiac Cin of Baton Rouge LLC | Internal Medicine | 9655 Perkins Rd Ste C-220, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1720423478 | Lafayette Cardiovascular Center of Excellence,llc | Internal Medicine | 318 Guilbeau Rd, Lafayette, LA 70506-6914 | 2013-05-08 |
| 1073820676 | Nurtured Heart, LLC | Internal Medicine | 324 Settlers Trace Blvd, Lafayette, LA 70508-6060 | 2010-09-03 |
| 1063724326 | Nayan Agarwal | Internal Medicine | 6550 Main St Ste 1000, Zachary, LA 70791-4092 | 2010-07-02 |
| 1164665477 | Salil Sethi | Internal Medicine | 3311 Prescott Rd Ste 112, Alexandria, LA 71301-3917 | 2009-04-16 |
| 1265687503 | Syed Bilal Akhtar Rizvi | Internal Medicine | 501 Medical Center Dr Ste 250, Alexandria, LA 71301-8124 | 2008-12-01 |
| 1497894620 | Cardiovascular Diagnostic Center | Internal Medicine | 402 Mcmillan Rd, West Monroe, LA 71291-5326 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on DR. PAUL CORKRAN DAVIS.
| 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.