Active NPI
Cameron Sandefur, D.O., P.L.L.C.
- Hospitalist Physician
- Shreveport, LA
National Provider Identifier
1003677741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- CAMERON SANDEFUR, D.O., P.L.L.C.
- Practice address
- 1541 Kings Hwy Ste 10TH
Shreveport, LA 71103-4228 - Phone
- (318) 688-8504
- NPI assigned
- Jan 19, 2024
- Last updated
- Jan 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cameron Sandefur, DO
- Title
- Manager
- Phone
- (318) 578-0697
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1541 Kings Hwy Ste 10TH
Shreveport, LA 71103-4228
Mailing address
2243 Landau LN
Bossier City, LA 71111-5550
Phone (318) 578-0697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1541 Kings Hwy
Ste 10TH
Shreveport, LA 71103
Phone (318) 688-8504
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Shreveport, LA
- NPI 1952864324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1003677741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 LANDAU LN",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711115550",
"telephone_number": "318-578-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 KINGS HWY STE 10TH",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-688-8504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMERON SANDEFUR, D.O., P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "SANDEFUR",
"authorized_official_first_name": "CAMERON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "318-578-0697",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Julianne Honore Calvin
- Gabriella Elizabeth Camacho, DPT
- Joseph Camarano
- Cambize Shahrdar MD and Willis-Knighton Medical Center
- Melissa Raney Camden, PA-C
- Angela Wise Cameron, FNP-C
- Christina Ann Camp Cockerham, WHNP
- Shelia Love Camp, LCSW,ACSW
- Tiffany Kimberlyn Campbell-Murray, NP
- Alyssa Campbell, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.