Josephine M Futrell (NPI# 1609846500, PAC ID# 0244339687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1609846500 |
| PAC ID by PECOS | 0244339687 |
| Professional Enrollment ID | I20070626000076 |
| Full Name | Josephine M Futrell |
| Organization Legal Name | WK DERMATOLOGY CLINIC |
| Address |
1811 E Bert Kouns Industrial Loop Suite 110 Shreveport LA 71105-5741 |
| Phone Number | 3182123440 |
| Gender | F |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1989 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5092814434 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2300 Hospital Dr, Suite 400, Bossier City, LA 71111-2180 | 3182127800 | WK DERMATOLOGY CLINIC |
| 1811 E Bert Kouns Industrial Loop, Suite 110, Shreveport, LA 71105-5741 | 3182123440 | WK DERMATOLOGY CLINIC |
| Organization Legal Name | WK DERMATOLOGY CLINIC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Glorioso | Dermatology | Wk Dermatology Clinic | 2300 Hospital Dr, Suite 400, Bossier City, LA 71111-2180 |
| Sarah G Baker | Dermatology | Wk Dermatology Clinic | 2300 Hospital Dr, Suite 400, Bossier City, LA 71111-2180 |
| Elizabeth L Clemons | Dermatology | Wk Dermatology Clinic | 1811 E Bert Kouns Industrial Loop, Suite 110, Shreveport, LA 71105-5741 |
| Street Address |
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 110 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71105-5741 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Self | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Kristen R Bass | Physician Assistant | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| April C Palmer | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Stephen Germain Cassiere | Internal Medicine | Wk Pierremont Associates In Internal Medicine | 1811 E Bert Kouns Industrial Loop, Suite 130, Shreveport, LA 71105-5741 |
| Russell S Carr | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Ishita Prakash Patel | Endocrinology | Wk Pierremont Endocrine Center | 1811 E Bert Kouns Industrial Loop, Suite 480, Shreveport, LA 71105-5765 |
| Larry Flake | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Wendy M Moses | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Lyubov Olenina | Endocrinology | Wk Pierremont Endocrine Center | 1811 E Bert Kouns Industrial Loop, Suite 480, Shreveport, LA 71105-5765 |
| Alan J Borne | Internal Medicine | 1811 E Bert Kouns Industrial Loop, Suite 440, Shreveport, LA 71105-5740 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mairus T Mcfarland | General Practice | 3331 Youree Dr, Shreveport, LA 71105-2115 | |
| Suresh Kumar | Neurology | 3555 Youree Dr, Shreveport, LA 71105-2119 | |
| James S Harrold Jr. | Psychiatry | 2924 Knight St, Suite 434, Shreveport, LA 71105-2413 | |
| Kimberly D. Law | Psychiatry | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
| Orlise M Aubrey | Clinical Social Worker | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
| Tom Staats | Clinical Psychologist | Comprehensive Assessments, Inc | 3010 Knight St, Shreveport, LA 71105-2541 |
| Suzannah K York-crump | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
| Elizabeth M Hansen | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
| Carson S Holtzclaw | Physician Assistant | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
| Ayesha Tabassom | Emergency Medicine | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
| Find all physicians in zip 71105 | |||
| City | SHREVEPORT |
| Zip Code | 71105 |
| Specialty | DERMATOLOGY |
| City + Specialty | SHREVEPORT + DERMATOLOGY |
Please comment or provide details below to improve the information on Josephine M Futrell.
| 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.