DR. BENJAMIN VICKERS


Address: 8601 Rampart Pl, Shreveport, LA 71106-6227
Phone: 3188691446

DR. BENJAMIN VICKERS (NPI# 1992046148) 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) 1992046148
Entity Type Individual
Full Name DR. BENJAMIN VICKERS
Credential M.D.
Practice Address 8601 Rampart Pl
Shreveport
LA 71106-6227
Practice Telephone 3188691446
Mailing Telephone 3188691446
Enumeration Date 2013-03-13
Last Update Date 2013-03-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD.02330R LA Allopathic & Osteopathic Physicians

Office Location

Street Address 8601 RAMPART PL
City SHREVEPORT
State LA
Zip Code 71106-6227

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NPI Name Taxonomy Address Enumeration
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1144753708 Laverne Brantley Counselor 328 E 69th St, Shreveport, LA 71106 2017-04-10
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1841730728 Cedric Thomas Case Manager/Care Coordinator 6811 Fairfield Avenue, Shreveport, LA 71106 2017-02-27
1225576192 Nick Vergis Pharmacist 5828 Line Avenue, Shreveport, LA 71106 2017-02-10
1184162554 Marilyn Johnson Case Manager/Care Coordinator 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 2017-02-06
1417499740 Pamela Lee Counselor 8802 Coyth Ln, Shreveport, LA 71106 2016-11-17
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801393590 Sterling Spine, LLC Radiology 708 N Ashley Ridge Loop Ste 400, Shreveport, LA 71106-7234 2018-04-09
1053659672 Lacy Holmes Williams Radiology 416 Travis St, Suite 1200, Shreveport, LA 71101-3282 2013-01-17
1710238100 Thomas Archie Grant Radiology 9392 Stonebriar Cir, Shreveport, LA 71115-3728 2012-09-25
1174569412 Ginger Auer-baker Radiology 708 N Ashley Ridge Loop, Suite #400, Shreveport, LA 71106-7234 2006-06-22
1932108578 Open Mri of Northwest Louisiana LLC Radiology 855 Pierremont Rd, Suite 105, Shreveport, LA 71106-2084 2005-07-15
1548656465 Evangeline Clinical Services, Inc. Radiology 855 Pierremont Rd, Suite 105, Shreveport, LA 71106-2084 2015-04-07
1619396702 Aya Al Asfari Radiology 1541 Kings Hwy, Shreveport, LA 71103-4228 2014-04-16
1972947166 Oluwayemisi M. Ojemakinde Radiology 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103-4228 2013-04-18
1750724555 Virginia Ann Brown Radiology 1501 Kings Hwy, Dept. of Internal Medicine, Shreveport, LA 71103-4228 2013-04-10
1992048177 Bayou Imaging & Interventions, LLC Radiology 708 N Ashley Ridge Loop, Shreveport, LA 71106 2013-04-05
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City SHREVEPORT
Zip Code 71106

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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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