KARL K BILDERBACK (NPI# 1942245345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942245345 |
| Entity Type | Individual |
| Full Name | KARL K BILDERBACK |
| Credential | MD |
| Practice Address |
7925 Youree Dr Suite 200 Shreveport LA 71105-5538 |
| Practice Telephone | 3187986700 |
| Practice Fax Number | 3187986799 |
| Mailing Telephone | 3187986700 |
| Mailing Fax Number | 3182123677 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
09187R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1950459 | 05 |
| Street Address |
7925 YOUREE DR SUITE 200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610271 | James L Zumbrunnen | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2005-09-23 |
| 1154934974 | Jennifer Fogleman | Specialist/Technologist | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2020-08-31 |
| 1285145706 | Georgia Shively Monk | Physician Assistant | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2017-10-24 |
| 1295038149 | Thea C Pennywell | Physician Assistant | 7925 Youree Dr, Suite 220, Shreveport, LA 71105-5127 | 2010-12-15 |
| 1801128616 | Elise Kayser Kowalewski | Physician Assistant | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2010-02-03 |
| 1881844033 | Georgia M. Baker | Nurse Practitioner | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2008-09-24 |
| 1750558953 | Patrick Massey | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2008-05-15 |
| 1700077294 | Wk Mid South Orthopedics | Orthopaedic Surgery | 7925 Youree Dr, Suite 220, Shreveport, LA 71105-5127 | 2007-08-08 |
| 1164649927 | Diane Renee Mcculler | Registered Nurse | 7925 Youree Dr, Suite 280a, Shreveport, LA 71105-5538 | 2007-04-20 |
| 1114003076 | Scott R Gillum | Physician Assistant | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2006-10-31 |
| Find all providers in the same location | ||||
| 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 Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609837020 | Michelle R Ritter | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-03-28 |
| 1619036951 | Ellis O. Cooper IIi | Orthopaedic Surgery | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4644 | 2006-12-06 |
| 1700819752 | Center for Hand Surgery, Inc. | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-07-09 |
| 1366488173 | Karl K Bilderback, Md and Willis-knighton Medical Center | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5538 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316146228 | Orthopaedic Sports Specialists of Louisiana LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5051 | 2007-07-12 |
| 1386153591 | Kayleigh Eppling Binet | Orthopaedic Surgery | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-09-20 |
| 1033633284 | Allen T. Borne, M.d., LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2017-07-31 |
| 1306377189 | Donald C. Faust, Md | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2017-03-23 |
| 1700282704 | Lmg, LLC | Orthopaedic Surgery | 2731 Napoleon Ave, New Orleans, LA 70115-6913 | 2014-11-18 |
| 1326485319 | Matthew Rand Mccarley | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2013-05-30 |
| 1487949483 | Brent Van Mccarty | Orthopaedic Surgery | 1200 Pinnacle Pkwy, Covington, LA 70433-9167 | 2011-06-17 |
| 1578855896 | Allen T Borne | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2011-05-04 |
| 1396069308 | Katherine Faust | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2010-03-19 |
| 1902079759 | Carol Durham Meyer | Orthopaedic Surgery | 4228 Houma Blvd, Suite600b, Metairie, LA 70006-3000 | 2008-04-11 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.