MR. MARK ALAN COGBURN (NPI# 1952458713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952458713 |
| Entity Type | Individual |
| Full Name | MR. MARK ALAN COGBURN |
| Credential | LPC,LMFT |
| Practice Address |
1501 Kings Hwy Shreveport LA 71103-4228 |
| Practice Telephone | 3186754881 |
| Practice Fax Number | 3186755069 |
| Mailing Telephone | 3186754881 |
| Mailing Fax Number | 3186755069 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
1595 | LA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 177 | LA | Behavioral Health & Social Service Providers |
| Y | 364S00000X | Clinical Nurse Specialist | APO6313 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164788691 | Mark Litton Cogburn | Urology | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2012-04-10 |
| Street Address |
1501 KINGS HWY |
| 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 | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225323819 | Tyler K. Bartley | Clinical Nurse Specialist | 2025 Gravier Street, New Orleans, LA 70112-2269 | 2011-06-13 |
| 1114126240 | Laverne D Williams | Clinical Nurse Specialist | 2021 Perdido Street, New Orleans, LA 70112 | 2007-07-18 |
| 1942291828 | Barbara W Marley | Clinical Nurse Specialist | 111 E 5th St, Room 212, Natchitoches, LA 71457-5724 | 2005-10-31 |
| 1588666762 | Lori Quinn-tate | Clinical Nurse Specialist | 1 Galleria Blvd # 1420, Metairie, LA 70001-2082 | 2005-06-01 |
| 1144223207 | Louise D Frederick | Clinical Nurse Specialist | 441 Heymann Blvd, Lafayette, LA 70503-2611 | 2005-05-23 |
| 1396094405 | Julie M. Castex | Clinical Nurse Specialist | 1514 Jefferson Highway, New Orleans, LA 70121-2429 | 2012-09-05 |
| 1629358866 | Theresa Frederick Bodker | Clinical Nurse Specialist | 1211 Coolidge Blvd, Suite 100, Lafayette, LA 70503-2636 | 2011-08-19 |
| 1487946653 | Rosa M Bustamante-forest | Clinical Nurse Specialist | 2021 Perdido Street, New Orleans, LA 70112 | 2011-05-06 |
| 1962707786 | Deborah Ann Bourgeois | Clinical Nurse Specialist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2011-01-26 |
| 1659593853 | Coletha Riley | Clinical Nurse Specialist | 1541 Tulane Ave, Rm 505, New Orleans, LA 70112-2821 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on MR. MARK ALAN COGBURN.
| 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.