PAIGE BUNDRICK


Address: 1501 Kings Hwy, Department of Otolaryngology, Shreveport, LA 71103-4228
Phone: 3186756262

PAIGE BUNDRICK (NPI# 1881911683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology MD.205026 LA Allopathic & Osteopathic Physicians

Office Location

Street Address 1501 KINGS HWY
DEPARTMENT OF OTOLARYNGOLOGY
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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