Sophia Tayebeh Shokouh-amiri (NPI# 1134516578, PAC ID# 9032415286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134516578 |
| PAC ID by PECOS | 9032415286 |
| Professional Enrollment ID | I20190307001220 |
| Full Name | Sophia Tayebeh Shokouh-amiri |
| Organization Legal Name | WK PIERRE AVE COMMUNITY HEALTH EDUCATION AND WELLNESS CENTER |
| Address |
1327 Pierre Ave Shreveport LA 71103-3056 |
| Phone Number | 3182128624 |
| Gender | F |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597743906 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1327 Pierre Ave, Shreveport, LA 71103-3056 | 3182128624 | WK PIERRE AVE COMMUNITY HEALTH EDUCATION AND WELLNESS CENTER |
| 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5718 | 3182123520 | WK URGENT CARE CENTER-PIERREMONT |
| 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 3182125520 | WK URGENT CARE CENTER-PIERREMONT |
| 4700 Hilry Huckaby Ave, Shreveport, LA 71107-4702 | 3182211001 | WK COMMUNITY HEALTH CLINIC |
| Organization Legal Name | WK PIERRE AVE COMMUNITY HEALTH EDUCATION AND WELLNESS CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Street Address |
1327 PIERRE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip | 71103-3056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Candace Funderburk | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Billy Miller | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Lynnon L Connerly | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Find all physicians in zip 71103 | |||
| City | SHREVEPORT |
| Zip Code | 71103 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHREVEPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sophia Tayebeh Shokouh-amiri.
| 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.