SHANNON LEA BETZING


Address: 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931
Phone: 3187989400

SHANNON LEA BETZING (NPI# 1952610883) 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) 1952610883
Entity Type Individual
Full Name SHANNON LEA BETZING
Credential PA
Practice Address 2727 Hearne Ave
Suite 300
Shreveport
LA 71103-3931
Mailing Address Po Box 51008
Shreveport
LA 71135-1008
Practice Telephone 3187989400
Practice Fax Number 3187983894
Mailing Telephone 3187989400
Mailing Fax Number 3187983894
Enumeration Date 2010-09-27
Last Update Date 2012-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA.200377 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 2136364 05

Office Location

Street Address 2727 HEARNE AVE
SUITE 300
City SHREVEPORT
State LA
Zip Code 71103-3931

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255321881 Michael Glen Walton Internal Medicine 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 2005-10-25
1972043511 Wk Heart and Vascular Institute Chf Clinic Internal Medicine 2727 Hearne Ave, Shreveport, LA 71103-3917 2017-03-01
1831633510 Kerri Lavigne Physician Assistant 2727 Hearne Ave, 300, Shreveport, LA 71103-3917 2016-12-14
1063963890 Alex Stewart Nurse Practitioner 2727 Hearne Ave, Ste 300, Shreveport, LA 71103-3917 2016-10-17
1710366570 James Clay Harris Nurse Practitioner 2727 Hearne Ave, Suite 301, Shreveport, LA 71103-3917 2015-05-27
1487914453 Amy Myers Brainis Nurse Practitioner 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 2012-05-23
1871877407 Cassie James Miller Physician Assistant 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 2011-09-30
1134457757 Kelli Marie Neal Physician Assistant 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 2009-11-19
1306173638 Amanda Mariah Savoie Physician Assistant 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 2009-11-06
1609058395 Angela H Pharr Physician Assistant 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 2007-12-04
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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 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740829217 Bno Surgical Consultants, LLC Physician Assistant 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 2020-01-02
1497394076 Midday Surgical Consultants, LLC Physician Assistant 550 Linden St, Shreveport, LA 71104-4426 2019-12-31
1225677800 Geaux Surgical Consultants, LLC Physician Assistant 370 Gallier Pl, Shreveport, LA 71106-8377 2019-12-31
1962041541 Ace Surgical Consultants, LLC Physician Assistant 11045 Gabriels Path, Shreveport, LA 71106-7791 2019-12-31
1013499763 Kristi Harrison Gaspard Physician Assistant 2508 Bert Koun Loop Ste 106, Shreveport, LA 71118-3175 2018-08-29
1295216125 Heather White Physician Assistant 745 Olive St Ste 200, Shreveport, LA 71104-2246 2018-08-28
1285143669 Kara Forbis Physician Assistant 2600 Kings Hwy Ste 420, Shreveport, LA 71103-3950 2017-09-28
1144748195 Catherine Murphy Rogers Physician Assistant 2727 Hearne Ave Ste 300, Shreveport, LA 71103-3918 2017-08-30
1972955474 Robin Egan Physician Assistant 1811 E Bert Koun Loop Ste 200, Shreveport, LA 71105-5766 2016-07-07
1457733198 Brfhh Shreveport LLC Physician Assistant 1541 Kings Highway, Shreveport, LA 71103-4228 2015-06-18
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Competitor

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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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