Jason Nelson (NPI# 1700097235, PAC ID# 0143373472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1700097235 |
PAC ID by PECOS | 0143373472 |
Professional Enrollment ID | I20090803000766 |
Full Name | Jason Nelson |
Address |
9725 Catawba Dr Shreveport LA 71115-4618 |
Gender | M |
Graduation Year | 2006 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190111 | WILLIS KNIGHTON MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 | 3182123821 | WK PIERREMONT HOSPITALISTS |
9725 Catawba Dr, Shreveport, LA 71115-4618 |
Street Address |
9725 CATAWBA DR |
City | SHREVEPORT |
State | LA |
Zip | 71115-4618 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason S Mook | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Leocardy Pierre | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Jordan Austin Brice | Anesthesiology | Pierremont Anesthesia Consultants | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Carmell Lenert-williams | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
John Netterville | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Ganesh S Dhoble | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Eustace Edwards | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Wen Liu | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Kamlesh Jani | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Michael J Lewis | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Find all physicians in zip 71115 |
City | SHREVEPORT |
Zip Code | 71115 |
Specialty | INTERNAL MEDICINE |
City + Specialty | SHREVEPORT + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.