JOSEPH MICHAEL ANGELO


Address: 1500 Line Avenue, Ste 100, Shreveport, LA 71101
Phone: 3186353052

JOSEPH MICHAEL ANGELO (NPI# 1992831895) 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) 1992831895
Entity Type Individual
Full Name JOSEPH MICHAEL ANGELO
Credential PA
Practice Address 1500 Line Avenue
Ste 100
Shreveport
LA 71101
Mailing Address 1500 Line Avenue
Ste 204
Shreveport
LA 71101
Practice Telephone 3186353052
Practice Fax Number 3186326087
Mailing Telephone 3186295001
Mailing Fax Number 3186295020
Enumeration Date 2007-02-26
Last Update Date 2008-01-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
PA10405 LA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA.A10405 LA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOSEPH ANGELO

NPI Name Taxonomy Address Enumeration
1669736542 Joseph Ted Angelo Pharmacist 13898 Ne 28th St, Vancouver, WA 98682-8844 2012-06-26
1760790927 Joseph R Angelo II Pediatrics 6410 Fannin St, 500, Houston, TX 77030-3000 2010-09-21
1114075900 Joseph E. Angelo Internal Medicine 9400 Rosecrans Ave, Bellflower, CA 90706-2246 2007-01-08
1740351147 Joseph Angelo Internal Medicine 208 Plumtree Rd, Suite D, Bel Air, MD 21015-6056 2006-11-10

Office Location

Street Address 1500 LINE AVENUE
STE 100
City SHREVEPORT
State LA
Zip Code 71101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295739001 William L Overdyke Orthopaedic Surgery 1500 Line Avenue, Suite 100, Shreveport, LA 71101 2005-06-09
1790196657 Specialists Hospital Shreveport Pharmacy 1500 Line Avenue, Suite 206, Shreveport, LA 71101 2014-05-14
1417189465 Clay Eric Morgan Physician Assistant 1500 Line Avenue, Ste 100, Shreveport, LA 71101-4639 2009-08-10
1659503613 Trey M Harold Physician Assistant 1500 Line Avenue, Suite 100, Shreveport, LA 71101-4639 2009-08-10
1104057694 Specialists Hospital Shreveport, LLC Prosthetic/Orthotic Supplier 1500 Line Avenue, Suite 206, Shreveport, LA 71101-4639 2009-07-31
1598891491 Stephen Michael Brandao Jr. Nurse Practitioner 1500 Line Avenue, Ste 200, Shreveport, LA 71101 2007-02-26
1891821583 Chris D Howard Nurse Practitioner 1500 Line Avenue, Ste 200, Shreveport, LA 71101 2007-02-26
1255470118 John David Googe Orthopaedic Surgery 1500 Line Avenue, Ste 100, Shreveport, LA 71101 2007-02-06
1346393816 Michele Allison Occupational Therapist 1500 Line Avenue, Ste 100, Shreveport, LA 71101 2007-01-19
1073585477 Philip Andrew Utter Neurological Surgery 1500 Line Avenue, Ste 200, Shreveport, LA 71101 2006-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255988630 Renee Jewitt Case Manager/Care Coordinator 1513 Line Avenue, Suite 225, Shreveport, LA 71101 2019-08-21
1942770094 Bessie Larry Case Manager/Care Coordinator 1513 Line Av, 222, Shreveport, LA 71101 2018-12-03
1750875944 Jarvis Decarleonne Larry Community Health Worker 1513 Line Ave # 222, Shreveport, LA 71101 2018-06-20
1871083485 Kimberly B. Mcclelland, Lcsw Counselor 820 Jordan St. Ste 510w, Shreveport, LA 71101 2018-05-18
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1528572955 Spencer Ron Floyd Counselor 1717 Marshall Street, Shreveport, LA 71101 2017-11-21
1578088076 Brittany Morris Case Manager/Care Coordinator 1835 Spring Street Annex Building, Shreveport, LA 71101 2017-08-07
1275058794 Diane Williams Case Manager/Care Coordinator 217 Jones St Apt 510, Shreveport, LA 71101 2017-08-04
1386195972 Jakeya Woodbury Counselor 453 Stoner Ave, Shreveport, LA 71101 2016-10-18
1922459643 Arlene Huling Counselor 449 Egan Street, Shreveport, LA 71101 2016-06-23
Find all providers in zip 71101

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790228013 Brian Keith Fontenot Physician Assistant 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 2016-11-18
1831412626 Christopher Micheal Magill Physician Assistant 2551 Greenwood Rd Ste 210, Shreveport, LA 71103-3985 2010-03-08
1851401426 Teresa Bigler Physician Assistant 1606 Kings Hwy, Shreveport, LA 71103-4128 2006-08-30
1730118365 Tina Faith Gentry Physician Assistant 7925 Youree Dr Suite 280b, Shreveport, LA 71105-5538 2006-07-03
1487616538 David Stanley Staton Physician Assistant Overton Brooks Vamc, 510 East Stoner Ave, Shreveport, LA 71101 2006-04-04
1114924404 Mary Mcferren Physician Assistant 1455 E Bert Kouns Industrial Loop # 200, Shreveport, LA 71105 2005-07-01
1487252029 Melissa Raney Physician Assistant 2709 Mackey Ln, Shreveport, LA 71118-2556 2020-10-15
1629683230 Amanda Renae Simmons Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-10
1700496312 Caroline Leigh Harris Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-08-07
1811459449 Lyndsey Pate Day Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2019-04-02
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71101

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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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