Deanna S. Donley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

023631 Issued in LA

Practice address

2514 Bert Kouns Industrial Loop
Suite 3
Shreveport, LA 71118-3146

Phone

(318) 212-5060

Fax

(318) 212-5025

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1114953858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013910",
            "telephone_number": "318-212-5060",
            "fax_number": "318-212-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 3",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183146",
            "telephone_number": "318-212-5060",
            "fax_number": "318-212-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLEY",
        "first_name": "DEANNA",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "023631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1486671",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Paul Donaldson, PA-C
• Jasmine Donatto
• Kimberly Donelson, CPNP
• Suresh Kumar Donepudi, MD
• Caiping Dong, MD
• Katrina Dooley
• Cecil Clifton Dopson Jr., MD
• Aiyasawmy Dave Dorairajan, MD
• Taryn Dorius, PHARMD
• Kay Dorsey

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.