GONZALO ALVAREZ DEL REAL (NPI# 1801853106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801853106 |
| Entity Type | Individual |
| Full Name | GONZALO ALVAREZ DEL REAL |
| Credential | MD |
| Practice Address |
1455 E Bert Kouns Industrial Loop # 108 Shreveport LA 71105-5634 |
| Mailing Address |
Po Box 415000 Lbx 410604 Nashville TN 37241-0604 |
| Practice Telephone | 3187984544 |
| Practice Fax Number | 3187984557 |
| Mailing Telephone | 3187984539 |
| Mailing Fax Number | 3187984601 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 311897 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1455 E BERT KOUNS INDUSTRIAL LOOP # 108 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5634 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861791592 | Caroline Virginia Caperton | Allergy & Immunology | 2530 Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71118-3153 | 2011-03-21 |
| 1164482725 | David A Kaufman | Allergy & Immunology | 463 Ashley Ridge Blvd, Ste 100, Shreveport, LA 71106-7231 | 2006-03-27 |
| 1922533637 | Wk Allergy Asthma & Immunology Center | Allergy & Immunology | 2530 Bert Kouns Industrial Loop, Suite 112, Shreveport, LA 71118-3132 | 2017-05-01 |
| 1700138781 | Breatheamerica Shreveport Inc | Allergy & Immunology | 463 Ashley Ridge Blvd, Suite 100, Shreveport, LA 71106-7231 | 2012-10-15 |
| 1780802504 | Healing Grace Internal Medicine & Pediatrics, LLC | Allergy & Immunology | 6821 Pines Rd, Suite 200, Shreveport, LA 71129-2547 | 2007-04-24 |
| 1417966888 | John Moissidis Md and Willis-knighton Medical Center | Allergy & Immunology | 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103-3981 | 2006-08-05 |
| 1053308742 | Ioannis A. Moissidis | Allergy & Immunology | 850 Olive St, Suite B, Shreveport, LA 71104-2162 | 2005-09-29 |
| 1386648129 | Lori R Johnson | Allergy & Immunology | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2005-06-09 |
| 1982608659 | Willard F Washburne | Allergy & Immunology | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2005-06-09 |
| 1679577340 | Steven C Whited | Allergy & Immunology | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2005-06-09 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.