CHARLES D KNIGHT JR.


Address: 1455 E Bert Kouns Industrial Loop Ste 202, Shreveport, LA 71105-5634
Phone: 3187984691

CHARLES D KNIGHT JR. (NPI# 1912901794) 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) 1912901794
Entity Type Individual
Full Name CHARLES D KNIGHT JR.
Credential MD
Practice Address 1455 E Bert Kouns Industrial Loop Ste 202
Shreveport
LA 71105-5634
Mailing Address 1455 E Bert Kouns Industrial Loop
Shreveport
LA 71105-6000
Practice Telephone 3187984691
Practice Fax Number 3187984412
Mailing Telephone 3187984691
Mailing Fax Number 3187984412
Enumeration Date 2005-06-09
Last Update Date 2019-12-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
06896R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA GROUP NPI NUMBER 1053315846 01
LA RAILROAD MEDICARE NUMBER 020021594 01
TX TEXAS MEDICAID NUMBER 153013101 01
LA 1376426 05

Other Providers CHARLES KNIGHT

NPI Name Taxonomy Address Enumeration
1376948349 Charles Douglas Knight Military Health Care Provider Uss Maryland Ssbn 738, Fpo, AA 23703 2014-11-03
1104935782 Charles Ed Knight Dentist 9601 Lile Dr Ste 240, Little Rock, AR 72205-6342 2006-08-29
1346247012 Charles Duane Knight Chiropractor 79440 Corporate Center Dr, Suite 108, La Quinta, CA 92253-7241 2005-07-07
1114540523 Charles R Knight Pharmacist 3005 Lake St, Omaha, NE 68111-3780 2020-05-19
1427303288 Charles Anthony Knight Military Health Care Provider 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2012-07-18
1194869388 Charles Bg Knight Radiology 2314 Nw Kings Blvd # A, Corvallis, OR 97330-3925 2007-02-19
1306805064 Charles W Knight Internal Medicine 1397 S Loop Rd, Pahrump, NV 89048-4729 2006-03-21
1184619926 Charles W Knight Jr. Internal Medicine 8333 N Davis Hwy, Pensacola, FL 32514-6050 2005-09-19

Office Location

Street Address 1455 E BERT KOUNS INDUSTRIAL LOOP STE 202
City SHREVEPORT
State LA
Zip Code 71105-5634

Providers in the same zip code

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 Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598001687 Rodric Marsh Yeager Surgery 7717 Creswell Rd, 46, Shreveport, LA 71106-6000 2012-12-18
1164435475 Stephen Collier White Surgery 1455 E Bert Kouns, Highland Clinic, Apmc, Shreveport, LA 71105 2006-08-15
1396785945 Milton Slocum Surgery 3300 Albert L Bicknell Dr Ste 3d, Shreveport, LA 71103-3903 2006-06-08
1245522564 Miles A Sugar II Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2011-05-04
1598096240 Wk Vascular Surgical Associates Surgery 2751 Albert L Bicknell Dr, Suite 5a, Shreveport, LA 71103-3920 2010-01-20
1285897132 Chiranjiv Singh Virk Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2008-07-09
1851433478 William L. Eddleman, Md, Apmc Surgery 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 2007-02-12
1538209697 Fredrick Willius Knight Surgery 2751 Albert L Bicknell Dr, Suite 5-a, Shreveport, LA 71103-3920 2007-02-07
1669413787 Robert L Barrett Surgery 8001 Youree Dr, Shreveport, LA 71115-2302 2006-06-09
1275572265 William Loy Eddleman Surgery 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 2006-06-05
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71105

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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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