Kamel Brakta (NPI# 1104087634, PAC ID# 0941439590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1104087634 |
PAC ID by PECOS | 0941439590 |
Professional Enrollment ID | I20140131001197 |
Full Name | Kamel Brakta |
Organization Legal Name | WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC |
Address |
2551 Greenwood Rd Suite 311 Shreveport LA 71103-3981 |
Phone Number | 3182126270 |
Gender | M |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
Graduation Year | 2008 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 0749419372 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190111 | WILLIS KNIGHTON MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1202 Louisiana Ave, Shreveport, LA 71101-3910 | 3182128946 | WK SOUTH SURGICAL HOSPITALISTS |
2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981 | 3182126270 | WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicole Michelle Toups | Physician Assistant | Wk Robotic and Laparoscopic Surgery Clinic | 2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981 |
Dustin L. Hadley | Physician Assistant | Wk Robotic and Laparoscopic Surgery Clinic | 2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981 |
Street Address |
2551 GREENWOOD RD SUITE 311 |
City | SHREVEPORT |
State | LA |
Zip | 71103-3981 |
Name | Specialty | Organization | Address |
---|---|---|---|
James Burke | General Surgery | 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103-3989 | |
Erin J Dicharry | Physician Assistant | Wk Tri-state Medical Clinic | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 |
Derek R Munoz | Internal Medicine | Wk North Hospitalists Group | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 |
Pierre Blanchard | Internal Medicine | Wk Tri-state Medical Clinic | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 |
Ambrosia Holsapple | Nurse Practitioner | Wk Tri-state Medical Clinic | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 |
Kurtis G Kostan | Internal Medicine | Wk North Hospitalists Group | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 |
Karla O Querbes | Internal Medicine | 2551 Greenwood Rd, Shreveport, LA 71103-3981 | |
Nicole Michelle Toups | Physician Assistant | Wk Robotic and Laparoscopic Surgery Clinic | 2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981 |
James M Jackson | Internal Medicine | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 | |
Kathryn F Chreene | Physician Assistant | Wk Tri-state Neurosurgery Associates | 2551 Greenwood Rd, Suite 320, Shreveport, LA 71103-3989 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Sophia Tayebeh Shokouh-amiri | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
Tiffany George | Nurse Practitioner | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
Tymwa Dixon | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
James P Swearingen Jr. | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
Stephen W Lewis | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
Margaret A Wheat- Sipes | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
Janusz Luka | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
David D Bryan | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
Wyche Coleman Iii | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
Christopher L Shelby | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
Find all physicians in zip 71103 |
City | SHREVEPORT |
Zip Code | 71103 |
Specialty | GENERAL SURGERY |
City + Specialty | SHREVEPORT + GENERAL SURGERY |
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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.