PAIGE BUNDRICK (NPI# 1881911683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881911683 |
Entity Type | Individual |
Full Name | PAIGE BUNDRICK |
Credential | MD |
Practice Address |
1501 Kings Hwy Department of Otolaryngology Shreveport LA 71103-4228 |
Practice Telephone | 3186756262 |
Practice Fax Number | 3186756260 |
Mailing Telephone | 3186756262 |
Mailing Fax Number | 3186756260 |
Enumeration Date | 2010-05-03 |
Last Update Date | 2016-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | MD.205026 | LA | Allopathic & Osteopathic Physicians |
Street Address |
1501 KINGS HWY DEPARTMENT OF OTOLARYNGOLOGY |
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 | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396817722 | Kenneth W Sanders Pllc | Otolaryngology | 2800 Youree Drive, Suite 100a, Shreveport, LA 71104 | 2006-11-14 |
1639249337 | Doctors Hearing Center LLC Xxxiii | Otolaryngology | 8039 Line Ave, Shreveport, LA 71106 | 2006-11-09 |
1619960119 | Joseph Houston Bosley | Otolaryngology | 2533 Bert Kouns Industrial Loop, #104, Shreveport, LA 71118-3158 | 2005-08-30 |
1972509370 | Henry J Hollier | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2005-06-22 |
1215484647 | Ameya A. Asarkar | Otolaryngology | 1501 Kings Highway, Shreveport, LA 71130 | 2016-09-01 |
1306281613 | Mickie J. Hamiter | Otolaryngology | 1501 Kings Hwy, Oto, Shreveport, LA 71103-4228 | 2013-05-01 |
1649407487 | Chuka Victor Ifeanyi | Otolaryngology | 1455 E Bert Koun Loop, #206, Shreveport, LA 71105-5634 | 2009-06-19 |
1225271513 | Blakely Nelson Thornton | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2009-04-15 |
1255581518 | Anil A Gungor | Otolaryngology | 1501 Kings Hwy, Department of Otolanyngology, Shreveport, LA 71103-4228 | 2008-09-23 |
1902097108 | Vikas Mehta | Otolaryngology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2007-08-05 |
Find all providers in SHREVEPORT |
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.