Park Plaza Anesthesia Associates, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PARK PLAZA ANESTHESIA ASSOCIATES, LLC

Practice address

8731 Park Plaza Dr Ste B
Shreveport, LA 71105-5682

Phone

(318) 703-2643

Fax

(318) 703-2645

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Lynn Adams, RN

Title

Chief Operating Officer

Phone

(225) 281-2274

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall P. Brewer, MD

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1538130018

  Anesthesiology

  Medicare reassignment NPD
• John N Cefalu, MD

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1659804979

  Anesthesiology

  Medicare reassignment NPD
• James Michael Wages Jr., M.D.

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1447561857

  Anesthesiology

  Medicare reassignment NPD
• Jennifer E Netterville, CRNA

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1710217492

  LA

  Medicare reassignment NPD

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1093335705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8731 PARK PLAZA DR STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055682",
            "telephone_number": "318-703-2643",
            "fax_number": "318-703-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8731 PARK PLAZA DR STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055682",
            "telephone_number": "318-703-2643",
            "fax_number": "318-703-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLAZA ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "225-281-2274",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538130018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikunj K Parikh, MD
• Fatima Pariona-Vargas
• Parish Pharmacy Inc
• Parish Pharmacy Inc
• Chandra Parish-Green
• Park Plaza Surgical Specialists LLC
• Tomasina Q Parker-Actlis, M.D.
• Carolyn Parker
• Chelsy B. Parker, P. T.
• Derrick Parker

• Anesthesiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.