Lisa N Kellogg (NPI# 1013258896, PAC ID# 8224276548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1013258896 |
| PAC ID by PECOS | 8224276548 |
| Professional Enrollment ID | I20130528000726 |
| Full Name | Lisa N Kellogg |
| Organization Legal Name | UNIVERSITY HEALTH SHREVEPORT, LLC |
| Address |
1541 Kings Hwy Shreveport LA 71103-4228 |
| Phone Number | 3186260000 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7416207196 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190098 | UNIVERSITY HEALTH SHREVEPORT |
| Address | Phone | Organization |
|---|---|---|
| 1541 Kings Hwy, Shreveport, LA 71103-4228 | 3186260000 | UNIVERSITY HEALTH SHREVEPORT, LLC |
| Organization Legal Name | UNIVERSITY HEALTH SHREVEPORT, LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Elizabeth Boley | Physician Assistant | University Health Shreveport, LLC | 1602 Kings Hwy, Shreveport, LA 71103-4128 |
| Vanisha Faye Williams | Nurse Practitioner | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Brenda A Jarrett | Nurse Practitioner | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Jason R Jarrett | Certified Registered Nurse Anesthetist (crna) | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Phillip M Priddy | Certified Registered Nurse Anesthetist (crna) | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Jeremy P Prime | Certified Registered Nurse Anesthetist (crna) | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Rhonda Crouch | Nurse Practitioner | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Richard N Disotell | Certified Registered Nurse Anesthetist (crna) | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Carol Martin | Nurse Practitioner | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Sonya Renee Thomas | Nurse Practitioner | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Street Address |
1541 KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip | 71103-4228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peimin Zhu | Neurology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Ioannis Papayannis | Internal Medicine | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Anthony H Sin | Neurosurgery | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Vanisha Faye Williams | Nurse Practitioner | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Brenda A Jarrett | Nurse Practitioner | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Shreedhar Kulkarni | Internal Medicine | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Hugo H Cuellar Saenz | Interventional Radiology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Danielle Cooper | Obstetrics/gynecology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Robert Holladay | Pulmonary Disease | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Jason R Jarrett | Certified Registered Nurse Anesthetist (crna) | University Health Shreveport, LLC | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sophia Tayebeh Shokouh-amiri | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tiffany George | Nurse Practitioner | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tymwa Dixon | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| James P Swearingen Jr. | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Stephen W Lewis | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Margaret A Wheat- Sipes | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Janusz Luka | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| David D Bryan | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Wyche Coleman Iii | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Christopher L Shelby | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Find all physicians in zip 71103 | |||
| City | SHREVEPORT |
| Zip Code | 71103 |
| 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 Lisa N Kellogg.
| 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.