DR. KAREN M'LISS PENDLETON (NPI# 1871781666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871781666 |
| Entity Type | Individual |
| Full Name | DR. KAREN M'LISS PENDLETON |
| Credential | M.D. |
| Practice Address |
6030 Line Ave Suite 210 Shreveport LA 71106-2062 |
| Practice Telephone | 3185500050 |
| Practice Fax Number | 3185500053 |
| Mailing Telephone | 3185500050 |
| Mailing Fax Number | 3185500053 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 017966 | LA | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
017966 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1970701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614258 | Karen Pendleton | Social Worker | 1206 W S Jordan Pkwy, South Jordan, UT 84095-5511 | 2020-03-16 |
| 1912335662 | Karen Pendleton | Nurse Practitioner | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2013-10-16 |
| Street Address |
6030 LINE AVE SUITE 210 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083088520 | Bmmg, LLC | Physical Therapist | 6030 Line Ave, Shreveport, LA 71106-2062 | 2015-11-20 |
| 1285957811 | Pair O' Docs Bio-rejuvenis | Preventive Medicine | 6030 Line Ave, Suite 210, Shreveport, LA 71106-2062 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043744196 | Aigerim B. Saulebayeva | Ophthalmology | 1501 Kings Hwy Bldg 1-201, Shreveport, LA 71103-4228 | 2017-04-16 |
| 1891168761 | Highland Clinic, A Prof Med Corp | Ophthalmology | 1400 E Bert Koun Loop, #103, Shreveport, LA 71105-5603 | 2015-11-02 |
| 1861838989 | James Vernon Ward | Ophthalmology | 413 Trinity Cir, Shreveport, LA 71106-2340 | 2013-05-15 |
| 1295828374 | Jerry Welton Drummond | Ophthalmology | 2514 Bert Kouns Ind Loop, Physicians Plaza #9, Shreveport, LA 71118 | 2006-10-02 |
| 1356320568 | Jeffrey M Gosslee | Ophthalmology | 725 N Ashley Ridge Loop, Ste 400, Shreveport, LA 71106 | 2006-01-16 |
| 1235129818 | Donald L Hall | Ophthalmology | 2611 Greenwood Rd, Shreveport, LA 71103-3907 | 2005-10-25 |
| 1427045814 | M. Ashley Wheat-sipes | Ophthalmology | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2005-09-30 |
| 1932105483 | Michael A Holy | Ophthalmology | 1801 Fairfield Ave, Ste 101, Shreveport, LA 71101-4457 | 2005-06-21 |
| 1386649788 | Wilson B Baber | Ophthalmology | 734 N Ashley Ridge Loop, Shreveport, LA 71106-7209 | 2005-06-14 |
| 1255335121 | John D Hinrichsen | Ophthalmology | 1400 E Bert Kouns Loop, Suite #103, Shreveport, LA 71105-5634 | 2005-06-09 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.