Blakely Nelson Thornton
EAR NOSE AND THROAT CENTER A MEDICAL CORPORATION


Address: 2121 Line Ave, Shreveport, LA 71104-2126
Phone: 3182269441232

Blakely Nelson Thornton (NPI# 1225271513, PAC ID# 4981917028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1225271513
PAC ID by PECOS 4981917028
Professional Enrollment ID I20150720001034
Full Name Blakely Nelson Thornton
Organization Legal Name EAR NOSE AND THROAT CENTER A MEDICAL CORPORATION
Address 2121 Line Ave
Shreveport
LA 71104-2126
Phone Number 3182269441232
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 2009
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 4486629540
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190041 CHRISTUS HEALTH SHREVEPORT - BOSSIER
190111 WILLIS KNIGHTON MEDICAL CENTER

Other Locations

Address Phone Organization
2121 Line Ave, Shreveport, LA 71104-2126 3182269441232 EAR NOSE AND THROAT CENTER A MEDICAL CORPORATION

Organization Information

Organization Legal Name EAR NOSE AND THROAT CENTER A MEDICAL CORPORATION
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
William Watkins Otolaryngology Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Laura Wade Qualified Audiologist Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Courtney Leigh Ross Qualified Audiologist Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Robert Strong Thornton Otolaryngology Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Misty Littleton Qualified Audiologist Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Henry J Hollier Otolaryngology Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
David Grehan Pou Otolaryngology Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Kristi Rockefeller Audiologist Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126

Office Location

Street Address 2121 LINE AVE
City SHREVEPORT
State LA
Zip 71104-2126

Physicians in the same location

Name Specialty Organization Address
William Watkins Otolaryngology Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Laura Wade Qualified Audiologist Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Courtney Leigh Ross Qualified Audiologist Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Robert Strong Thornton Otolaryngology Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Misty Littleton Qualified Audiologist Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Henry J Hollier Otolaryngology Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
David Grehan Pou Otolaryngology Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126
Kristi Rockefeller Audiologist Ear Nose and Throat Center A Medical Corporation 2121 Line Ave, Shreveport, LA 71104-2126

Physicians in the same zip code

Name Specialty Organization Address
Rita M Marascalco King Nurse Practitioner Lsu Health Sciences Center-shreveport Faculty Group Practice 2015 Fairfield Ave 2b Ptrs In Wellness, Lsu Hlth Sci Ctr Shreveport, Shreveport, LA 71104-2066
Charles E Lyon Ophthalmology Charles E Lyon, Md, Apmc 836 Olive St, Shreveport, LA 71104-2102
Travis Jones Optometry Charles E Lyon, Md, Apmc 836 Olive St, Shreveport, LA 71104-2102
George R Merriman General Surgery 949 Olive St, Shreveport, LA 71104-2103
Laurence E Welker Podiatry 915 Olive St, Shreveport, LA 71104-2103
Thomas M Nosser Chiropractic 915 Olive St, Shreveport, LA 71104-2103
Wallace H Brown Ii Plastic and Reconstructive Surgery W. Harold Brown and Barron J. O'neal (amc) 2210 Line Ave, Suite 200, Shreveport, LA 71104-2134
Barron J O'neal Plastic and Reconstructive Surgery W. Harold Brown and Barron J. O'neal (amc) 2210 Line Ave, Suite 200, Shreveport, LA 71104-2134
Katheryn B Arterberry Nurse Practitioner Arterberry Family Care Center 865 Olive St, Shreveport, LA 71104-2136
James Gary Booker Psychiatry 851 Olive St, Shreveport, LA 71104-2136
Find all physicians in zip 71104

Competitor

Search similar physicians

City SHREVEPORT
Zip Code 71104
Specialty OTOLARYNGOLOGY
City + Specialty SHREVEPORT + OTOLARYNGOLOGY

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Dataset Information

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.

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