Ronald Vincent (NPI# 1316030067, PAC ID# 5294648564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1316030067 |
| PAC ID by PECOS | 5294648564 |
| Professional Enrollment ID | I20031112000132 |
| Full Name | Ronald Vincent |
| Organization Legal Name | MEDICAL CENTER ANESTHESIOLOGISTS |
| Address |
1500 Line Ave Suite 206 Shreveport LA 71101-4649 |
| Phone Number | 3182133800 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2002 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6608814843 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
| 190278 | SPECIALISTS HOSPITAL SHREVEPORT |
| Address | Phone | Organization |
|---|---|---|
| 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 3186816678 | CHRISTUS HEALTH NORTHERN LOUISIANA |
| 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 | 3182133800 | MEDICAL CENTER ANESTHESIOLOGISTS |
| Organization Legal Name | MEDICAL CENTER ANESTHESIOLOGISTS |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley L Jones | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1453 E Bert Kouns, Shreveport, LA 71105-5634 |
| David C Deas | Anesthesiology | Medical Center Anesthesiologists | One St Louisiana, Shreveport, LA 71101-4343 |
| Sarah Fitzhugh | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 |
| Linda Jean Stamper | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 |
| Robert A Robertson | Anesthesiology | Medical Center Anesthesiologists | 1453 E Bert Kouns, Shreveport, LA 71105-5634 |
| Rachael A Ross | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 |
| Christina P Maxwell | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 |
| Jennifer B Thompson | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 |
| Jason White | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1453 E Bert Kouns, Shreveport, LA 71105-5634 |
| Rathmony Rama | Anesthesiology | Medical Center Anesthesiologists | 1453 E Bert Kouns, Shreveport, LA 71105-5634 |
| Street Address |
1500 LINE AVE SUITE 206 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71101-4649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay E Carter | Nurse Practitioner | Musculoskeletal Institute of Louisiana, LLC | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4644 |
| Sarah Fitzhugh | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 |
| Linda Jean Stamper | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 |
| Philip Andrew Utter | Neurosurgery | Spine Institute of Louisiana LLC | 1500 Line Ave, Suite 200, Shreveport, LA 71101-4643 |
| John Marshall Haynie | Orthopedic Surgery | Musculoskeletal Institute of Louisiana, LLC | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4644 |
| Stephen Lewis Cox | Orthopedic Surgery | Musculoskeletal Institute of Louisiana, LLC | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4644 |
| Peter G Campbell | Neurosurgery | Spine Institute of Louisiana LLC | 1500 Line Ave, Suite 200, Shreveport, LA 71101-4643 |
| John D Googe | Orthopedic Surgery | Musculoskeletal Institute of Louisiana, LLC | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4644 |
| Marion E Milstead | Orthopedic Surgery | Musculoskeletal Institute of Louisiana, LLC | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4644 |
| Rachael A Ross | Certified Registered Nurse Anesthetist (crna) | Medical Center Anesthesiologists | 1500 Line Ave, Suite 206, Shreveport, LA 71101-4649 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn E. Mcneil | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Jason M Broussard | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Kirsti N Peavy | Physician Assistant | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Arien M Ward | Psychologist, Clinical | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Devanshi Jani | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Albert M Aura | Internal Medicine | 1111 Line Ave, Shreveport, LA 71101-3841 | |
| Jeffrey T Overdyke | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Caleb Blair Harkins | Nurse Practitioner | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Mark H Smith | General Surgery | Wk South Surgical Hospitalists | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Matthew C Raley | Internal Medicine | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Find all physicians in zip 71101 | |||
| City | SHREVEPORT |
| Zip Code | 71101 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SHREVEPORT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Ronald Vincent.
| 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.