Amy E Coburn (NPI# 1871729277, PAC ID# 3072667856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1871729277 |
| PAC ID by PECOS | 3072667856 |
| Professional Enrollment ID | I20090812000864 |
| Full Name | Amy E Coburn |
| Organization Legal Name | HIGHLAND CLINIC, A PROF MED CORP |
| Address |
471 Ashley Ridge Blvd Shreveport LA 71106-7229 |
| Phone Number | 3187954770 |
| Gender | F |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2009 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3870493463 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 | 3187954770 | HIGHLAND CLINIC, A PROF MED CORP |
| Organization Legal Name | HIGHLAND CLINIC, A PROF MED CORP |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mansi Nalin Shah | Rheumatology | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Claude Youngblood Bundrick Jr. | Ophthalmology | Highland Clinic, A Prof Med Corp | 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 |
| Paul Rushing | Internal Medicine | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Jennifer B Angelo | Physician Assistant | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Roan Flenniken | Internal Medicine | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| James R Barnes | General Surgery | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Carlton Gregory Houtz | Orthopedic Surgery | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Autumn Lynne Laffitte | Nurse Practitioner | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Russell D Burlison | Obstetrics/gynecology | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Powell B Auer | Orthopedic Surgery | Highland Clinic, A Prof Med Corp | 1453 E Bert Kouns Industrial Loop, Suite 210, Shreveport, LA 71105-6810 |
| Street Address |
471 ASHLEY RIDGE BLVD |
| City | SHREVEPORT |
| State | LA |
| Zip | 71106-7229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claude Youngblood Bundrick Jr. | Ophthalmology | Highland Clinic, A Prof Med Corp | 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 |
| Mary Berg | Ophthalmology | Highland Clinic, A Prof Med Corp | 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 |
| John D Hinrichsen | Ophthalmology | Highland Clinic, A Prof Med Corp | 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 |
| Mary Clemons | Ophthalmology | Shreveport Eye Clinic A Medical Corp | 471 Ashley Ridge Blvd, Suite 300, Shreveport, LA 71106-7229 |
| Bruce Henderson | Ophthalmology | Highland Clinic, A Prof Med Corp | 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 |
| Carol S Clemons | Ophthalmology | Shreveport Eye Clinic A Medical Corp | 471 Ashley Ridge Blvd, Suite 300, Shreveport, LA 71106-7229 |
| Frederick Kirchner | Ophthalmology | Shreveport Eye Clinic A Medical Corp | 471 Ashley Ridge Blvd, Suite 300, Shreveport, LA 71106-7229 |
| John P Drummond | Ophthalmology | Shreveport Eye Clinic A Medical Corp | 471 Ashley Ridge Blvd, Suite 300, Shreveport, LA 71106-7229 |
| Jeffrey Faludi | Ophthalmology | Shreveport Eye Clinic A Medical Corp | 471 Ashley Ridge Blvd, Suite 300, Shreveport, LA 71106-7229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamal A Masri | Internal Medicine | 3801 Creswell Ave, Unit 19, Shreveport, LA 71106-1257 | |
| Michael D Pickering | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Carla Carter | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Jessica K Lantz | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Robert Newton Schwendimann | Neurology | Remote Neuromonitoring Physicians PC | 751 Oneonta St, Shreveport, LA 71106-1623 |
| Kelly A Yerger | Nurse Practitioner | 910 Pierremont Rd, Suite 234, Shreveport, LA 71106-2058 | |
| Lindsey A Pennington | Otolaryngology | 6030 Line Ave, Suite 110, Shreveport, LA 71106-2073 | |
| Tiffany A Jennings | Psychologist, Clinical | 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2093 | |
| Brandy Morgan Stroud | Clinical Social Worker | Interactional Services, Inc | 707 Southfield Rd, Shreveport, LA 71106-2219 |
| Linda I Grayson | Clinical Social Worker | Interactional Services, Inc | 707 Southfield Rd, Shreveport, LA 71106-2219 |
| Find all physicians in zip 71106 | |||
| City | SHREVEPORT |
| Zip Code | 71106 |
| Specialty | OPTOMETRY |
| City + Specialty | SHREVEPORT + OPTOMETRY |
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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.