David Grehan Pou (NPI# 1992701395, PAC ID# 7618069063) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1992701395 |
| PAC ID by PECOS | 7618069063 |
| Professional Enrollment ID | I20100824000023 |
| Full Name | David Grehan Pou |
| 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 | 1980 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4486629540 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
| Address | Phone | Organization |
|---|---|---|
| 2121 Line Ave, Shreveport, LA 71104-2126 | 3182269441232 | EAR NOSE AND THROAT CENTER A MEDICAL CORPORATION |
| Organization Legal Name | EAR NOSE AND THROAT CENTER A MEDICAL CORPORATION |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Watkins | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Blakely Nelson Thornton | 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 |
| Kristi Rockefeller | Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Street Address |
2121 LINE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip | 71104-2126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Watkins | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Blakely Nelson Thornton | 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 |
| Kristi Rockefeller | Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| 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 | |||
| City | SHREVEPORT |
| Zip Code | 71104 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SHREVEPORT + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on David Grehan Pou.
| 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.