Deanna E Mossallati (NPI# 1699017681, PAC ID# 1355639097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1699017681 |
| PAC ID by PECOS | 1355639097 |
| Professional Enrollment ID | I20161012000281 |
| Full Name | Deanna E Mossallati |
| Organization Legal Name | WK NORTH HOSPITALISTS GROUP |
| Address |
2551 Greenwood Rd Suite 410 Shreveport LA 71103-3989 |
| Phone Number | 3186212929 |
| Gender | F |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4486973872 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| 190125 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 309 Jackson St, Monroe, LA 71201-7407 | 3189664540 | ST FRANCIS MEDICAL GROUP LLC |
| 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 | 3186212929 | WK NORTH HOSPITALISTS GROUP |
| Organization Legal Name | WK NORTH HOSPITALISTS GROUP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek R Munoz | Internal Medicine | Wk North Hospitalists Group | 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 |
| Douglas Newell | Internal Medicine | Wk North Hospitalists Group | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 |
| Adam S Mossallati | Internal Medicine | Wk North Hospitalists Group | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 |
| Brenden S Brunner | Internal Medicine | Wk North Hospitalists Group | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989 |
| Street Address |
2551 GREENWOOD RD SUITE 410 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71103-3989 |
| 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 |
| Kamel Brakta | General Surgery | Wk Robotic and Laparoscopic Surgery Clinic | 2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981 |
| 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 | |
| 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 | INTERNAL MEDICINE |
| City + Specialty | SHREVEPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Deanna E Mossallati.
| 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.