Simba Ventures Hospital la, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

SIMBA VENTURES HOSPITAL LA, LLC

Practice address

1130 Louisiana Ave
Shreveport, LA 71101-3908

Phone

(318) 227-1211

Fax

(318) 678-4112

NPI assigned

Aug 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark R. Pfeil

Title

Cheif Financial Officer

Phone

(972) 265-3115

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Doctors' Hospital Shreveport Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1053502294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013908",
            "telephone_number": "318-227-1211",
            "fax_number": "318-678-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013908",
            "telephone_number": "318-227-1211",
            "fax_number": "318-678-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMBA VENTURES HOSPITAL LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "PFEIL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "972-265-3115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60652",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1749150",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors' Hospital Shreveport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James William Sikes Jr., DMD, MD
• Jeffrey W Silmon, D.D.S.
• Roberto Fidel Silva Aguiar, MD
• Silver Lining Non-Emergency Transportation LLC
• Sam Ray Silverblatt, O.D.
• Simba Ventures Hospital la, LLC
• Florette Sime, M.D.
• Simeon H. Wall, MD a Professional Medical Corp
• Deborah Collinsworth Simmons, M.C.D.
• Erica Nicole Simmons, MHP

• General Acute Care Hospital in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.