Kolleen C Snyder (NPI# 1225097595, PAC ID# 2466407366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1225097595 |
PAC ID by PECOS | 2466407366 |
Professional Enrollment ID | I20050314000684 |
Full Name | Kolleen C Snyder |
Organization Legal Name | CROSS LAKE EMERGENCY GROUP, LLC |
Address |
2510 Bert Kouns Industrial Loop Shreveport LA 71118-3119 |
Phone Number | 3182125000 |
Gender | F |
Credential | NP |
Graduation Year | 2004 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5395096440 |
Number of Group Practice Members | 47 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
190111 | WILLIS KNIGHTON MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 | 3182125000 | CROSS LAKE EMERGENCY GROUP, LLC |
Organization Legal Name | CROSS LAKE EMERGENCY GROUP, LLC |
Physicians | 35 |
Name | Specialty | Organization | Address |
---|---|---|---|
Misty T Wetzel | Emergency Medicine | Cross Lake Emergency Group, LLC | 2400 Hospital Dr, Bossier City, LA 71111-2385 |
Roy E Brandhurst | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Matthew Porter | Emergency Medicine | Cross Lake Emergency Group, LLC | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
Craig Florea | Emergency Medicine | Cross Lake Emergency Group, LLC | 2400 Hospital Dr, Bossier City, LA 71111-2385 |
Jason S Mook | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Brian T Dillon | Emergency Medicine | Cross Lake Emergency Group, LLC | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
Carmell Lenert-williams | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Kelly W Lambard | Emergency Medicine | Cross Lake Emergency Group, LLC | 2400 Hospital Dr, Bossier City, LA 71111-2385 |
John Netterville | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Jerel L Raney | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Street Address |
2510 BERT KOUNS INDUSTRIAL LOOP |
City | SHREVEPORT |
State | LA |
Zip | 71118-3119 |
Name | Specialty | Organization | Address |
---|---|---|---|
Roy E Brandhurst | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Jerel L Raney | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Frank F Guarisco Jr. | Nurse Practitioner | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Mary V Stell | Nurse Practitioner | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Edward Paul | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Robert Savory | Family Medicine | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 | |
Stacey A Henderson | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Sean C Denham | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Andrew T Haynes | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
Name | Specialty | Organization | Address |
---|---|---|---|
David L Hilton | Otolaryngology | 2508 Bert Kouns, Suite 306, Shreveport, LA 71118 | |
Bradly Kendall Larson | Optometry | Eye Central | 8889 Jewella Ave, Suite C, Shreveport, LA 71118-2138 |
Naba Razi Khan | Optometry | Eye Central | 8889 Jewella Ave, Suite C, Shreveport, LA 71118-2138 |
Zelmira Maria Farmer | Optometry | Eye Central | 8889 Jewella Ave, Suite C, Shreveport, LA 71118-2138 |
Hester Suh | Pediatric Medicine | 2709 Mackey Ln, Shreveport, LA 71118-2556 | |
Paul F Johnston | Chiropractic | 9141 Walker Rd, Shreveport, LA 71118-2940 | |
Susan M Seiler-smith | Internal Medicine | South Shreveport Internal Medicine | 2508 Bert Koun Loop, Suite 301, Shreveport, LA 71118-3100 |
Andrew J Oyoung | Internal Medicine | South Shreveport Internal Medicine | 2508 Bert Koun Loop, Suite 301, Shreveport, LA 71118-3100 |
Indira K Sastry | Pulmonary Disease | Indira Sastry and Willis-knighton | 2508 Bert Kouns Industrial Loop, Suite 304b, Shreveport, LA 71118-3100 |
Simhadri Sastry | Gastroenterology | 2508 Bert Kouns Industrial Loop, Suite 304, Shreveport, LA 71118-3100 | |
Find all physicians in zip 71118 |
City | SHREVEPORT |
Zip Code | 71118 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SHREVEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kolleen C Snyder.
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.