DR. VICTORIA L EVERTON (NPI# 1952339038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952339038 |
| Entity Type | Individual |
| Full Name | DR. VICTORIA L EVERTON |
| Credential | M.D. |
| Practice Address |
2530 Bert Kouns Loop Suite 138 Shreveport LA 71118-3132 |
| Mailing Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
| Practice Telephone | 3182125911 |
| Practice Fax Number | 3182125168 |
| Mailing Telephone | 3182128574 |
| Mailing Fax Number | 3182124153 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
MD11085R | LA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11085R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1584258 | 05 |
| Street Address |
2530 BERT KOUNS LOOP SUITE 138 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023241403 | Kirk Anthony Grantham | Family Medicine | 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118-3132 | 2009-09-01 |
| 1417100264 | Wk Hyperbaric & Wound Care Center | Family Medicine | 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118-3132 | 2008-10-24 |
| 1740465590 | National Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 2530 Bert Kouns Loop, Suite 116, Shreveport, LA 71118-3132 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174629299 | Gary Bernard Mazzanti | Emergency Medicine | 701 Jordan St, Suite A, Shreveport, LA 71101-4660 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417309667 | Pepa Wound Care Specialists LLC | Emergency Medicine | 7301 Hennessy Blvd Ste 103, Baton Rouge, LA 70808-4794 | 2016-07-11 |
| 1922206168 | Kevin-steven C Buford | Emergency Medicine | 2000 Canal Street, New Orleans, LA 70112-1352 | 2007-07-10 |
| 1699321703 | Extreme Environmental Medicine, LLC | Emergency Medicine | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-08-14 |
| 1811407091 | Christine Cao Md, LLC | Emergency Medicine | 1401 Foucher St Fl 1, New Orleans, LA 70115-3515 | 2017-10-02 |
| 1457735250 | Southern Regional Wound Care Consultants, LLC | Emergency Medicine | 301 Main St, Suite 2200, Baton Rouge, LA 70801-1919 | 2015-07-13 |
| 1447541941 | Micah W Siegel | Emergency Medicine | 1816 Industrial Blvd, Harvey, LA 70058-2314 | 2011-05-02 |
| 1487823506 | Leonard Christopher Treanor | Emergency Medicine | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2008-02-22 |
| 1336338052 | Talisman Healing Arts, LLC | Emergency Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2007-10-18 |
| 1861693962 | Solutions Medical Consulting, LLC | Emergency Medicine | 1495 Frazier Rd, Ruston, LA 71270-1632 | 2007-05-29 |
| 1518004142 | Charles Sterling Simmons | Emergency Medicine | 309 Jackson St, Monroe, LA 71201-0309 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
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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.