PEDIATRIC GI SPECIALISTS, LLC (NPI# 1831334051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831334051 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GI SPECIALISTS, LLC |
| Practice Address |
1801 Fairfield Ave Suite 305 Shreveport LA 71101-4467 |
| Mailing Address |
Po Box 1283 Shreveport LA 71163-1283 |
| Practice Telephone | 3186297769 |
| Practice Fax Number | 3186297768 |
| Mailing Telephone | 3186297769 |
| Mailing Fax Number | 3186297768 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2009-03-03 |
| Authorized Official Name | DR. SUNNY ZAHEED HUSSAIN (OWNER) |
| Authorized Official Telephone | 3186297769 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1706523 | 05 |
| Street Address |
1801 FAIRFIELD AVE SUITE 305 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105483 | Michael A Holy | Ophthalmology | 1801 Fairfield Ave, Ste 101, Shreveport, LA 71101-4457 | 2005-06-21 |
| 1033482492 | Stephanie Ann Presley | Nurse Practitioner | 1801 Fairfield Ave, Suite #301, Shreveport, LA 71101-4443 | 2012-02-15 |
| 1598045551 | Emily Downs | Counselor | 1801 Fairfield Ave, Suite 409, Shreveport, LA 71101-4443 | 2011-08-23 |
| 1275836264 | W. Ronald Skowsky, Md. LLC. | Specialist | 1801 Fairfield Ave, Ste 307, Shreveport, LA 71101-4443 | 2010-12-13 |
| 1407189772 | Eyecare Specialists of Louisiana | Ophthalmology | 1801 Fairfield Ave, Suite 103, Shreveport, LA 71101-4457 | 2009-09-17 |
| 1154561223 | Bellah Medical, LLC | Psychiatry & Neurology | 1801 Fairfield Ave, Suite 409, Shreveport, LA 71101-4443 | 2009-03-02 |
| 1831350016 | Saimah Talukder | Obstetrics & Gynecology | 1801 Fairfield Ave, Suite 401, Shreveport, LA 71101-4443 | 2008-06-20 |
| 1114187713 | Marsha A. Friedrich Md | Specialist | 1801 Fairfield Ave, Suite 207, Shreveport, LA 71101-4443 | 2008-06-17 |
| 1790956068 | Rajan Khanna Md Apmc | Internal Medicine | 1801 Fairfield Ave, Suite 303, Shreveport, LA 71101-4443 | 2008-03-14 |
| 1730367798 | Drs. Eddleman and Gladney, Amp | Surgery | 1801 Fairfield Ave, Suite 306, Shreveport, LA 71101-4443 | 2008-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1437572765 | Deepthi Sankepalli | Pediatrics | 2530 Bert Kouns Industrial Loop Ste 113, Shreveport, LA 71118 | 2014-01-22 |
| 1730155581 | Sunny Zaheed Hussain | Pediatrics | 2508 Bert Koun Loop, Suite 101, Shreveport, LA 71118-3133 | 2006-02-23 |
| 1962422980 | John Joseph Herbst | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Gastroenterology, Shreveport, LA 71103-4228 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730276841 | Dedrick E. Moulton | Pediatrics | Children's Hosptial, 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-10-09 |
| 1619952918 | Sophie Lanciers | Pediatrics | 4809 Beau Lac Ln, Metairie, LA 70002-1456 | 2005-12-08 |
| 1952918245 | Lara Lauter | Pediatrics | 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809-3481 | 2020-09-30 |
| 1184169773 | Sabine Medical Associates, Inc | Pediatrics | 210 Highland Dr, Many, LA 71449-3718 | 2017-01-05 |
| 1982063780 | Acadiana Pediatric Gastroenterology and Hepatology | Pediatrics | 101 Guilbeau Rd, Lafayette, LA 70506-6138 | 2016-02-22 |
| 1194169961 | Laquatre R. Rhodes | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2013-04-24 |
| 1366793374 | Patricio A Arias | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2012-10-01 |
| 1285993170 | Baton Rouge General Physicians Hospital Specialists | Pediatrics | 3401 North Blvd, Baton Rouge, LA 70806-3743 | 2012-05-11 |
| 1194012187 | Russell Franklin Zwiener | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2011-06-29 |
| 1528202876 | Erika Vogel Smith | Pediatrics | 1315 Jefferson Hwy, New Orleans, LA 70121-2406 | 2009-04-29 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.