Matthew C Raley (NPI# 1235573361, PAC ID# 7113226234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235573361 |
| PAC ID by PECOS | 7113226234 |
| Professional Enrollment ID | I20170103001136 |
| Full Name | Matthew C Raley |
| Organization Legal Name | WK NORTH PULMONARY AND CRITICAL CARE |
| Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
| Phone Number | 3182128946 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 1759382856 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 3182128946 | WK NORTH PULMONARY AND CRITICAL CARE |
| Organization Legal Name | WK NORTH PULMONARY AND CRITICAL CARE |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caleb Blair Harkins | Nurse Practitioner | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Robert Todd Rickman | Critical Care (intensivists) | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Calvin D Alexander | Critical Care (intensivists) | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Jonathan Eaton | Critical Care (intensivists) | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Robert Taylor | Pulmonary Disease | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Randy D Bryn | Pulmonary Disease | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Street Address |
1202 LOUISIANA AVE |
| City | SHREVEPORT |
| State | LA |
| Zip | 71101-3910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Christina R Reynolds | Neurology | Wk Neurology Consultants | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Robert Todd Rickman | Critical Care (intensivists) | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Venkat Raghav Aachi | Neurology | Wk Neurology Consultants | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Calvin D Alexander | Critical Care (intensivists) | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Ernest A Little | Neurology | Wk Neurology Consultants | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Jonathan Eaton | Critical Care (intensivists) | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Robert Taylor | Pulmonary Disease | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Randy D Bryn | Pulmonary Disease | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| 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 |
| Charles R Byrd Sr. | General Surgery | Wk South Surgical Hospitalists | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Alireza Minagar | Neurology | Wk Neurology Consultants | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Juanita C Roberts | Nurse Practitioner | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Find all physicians in zip 71101 | |||
| City | SHREVEPORT |
| Zip Code | 71101 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SHREVEPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Matthew C Raley.
| 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.