Practicemd, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

PRACTICEMD, INC.

Practice address

242 Lynbrook Blvd
Shreveport, LA 71106-6548

Phone

(318) 841-4312

Fax

(318) 841-4342

NPI assigned

Jan 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mike Byrd

Title

C.O.O.

Phone

(318) 841-4312

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1063717841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6657",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711366657",
            "telephone_number": "318-841-4312",
            "fax_number": "318-841-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 LYNBROOK BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066548",
            "telephone_number": "318-841-4312",
            "fax_number": "318-841-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICEMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "318-841-4312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Varnell Powell, CRNA
• Samantha Anne Powell, MA, PLPC
• Stanley E Powell, PT
• Thomas W Powell, SLP
• Emilee Rene Powers, COTA
• Ronald Pradel, MASTERS IN SPED
• Arun Kimar Pramanik, MBBS
• Pushpita Pramanik, M.D.
• Latarra Pratt
• Lekeidra Kalisa Pratt

• Non-Pharmacy Dispensing Site in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-Pharmacy Dispensing Site in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.