NPIMap

Organization Active NPI

Pierremont Anesthesia Consultants

  • Anesthesiology Physician
  • Shreveport, LA
National Provider Identifier
1063467496
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PIERREMONT ANESTHESIA CONSULTANTS
Practice address
1945 E 70TH St
Suite B
Shreveport, LA 71105-5347
Phone
(318) 797-1743
NPI assigned
May 24, 2006
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Lex Hubbard, MDNPI 1194705871
Title
Partner
Phone
(318) 797-1743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1945 E 70TH St
Suite B
Shreveport, LA 71105-5347

Mailing address

PO Box 52448
Shreveport, LA 71135-2448
Phone (318) 797-1743

Other identifiers 2

IdentifierTypeStateIssuer
1948918MedicaidLA
CI3142OtherRRMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110127001034 LA Part B Supplier - Clinic/Group Practice 0547200057 Receives reassigned benefits from 4 practitioners
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

2001 E 70th St
Ste 501
Shreveport, LA 71105
Phone (318) 798-3300

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1063467496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52448",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352448",
            "telephone_number": "318-797-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 E 70TH ST",
            "address_2": "SUITE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055347",
            "telephone_number": "318-797-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERREMONT ANESTHESIA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "LEX",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "318-797-1743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948918",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "CI3142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.

Verify at the official NPI Registry.