Charles R. Byrd MD a Professional

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CHARLES R. BYRD MD A PROFESSIONAL

Practice address

2751 Albert L Bicknell Dr
Ste 3-D
Shreveport, LA 71103-3920

Phone

(318) 221-4755

Fax

(318) 424-3642

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Kathy Hawthorne

Title

LPN

Phone

(318) 221-4755

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 9

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

• Charles R. Byrd, M.D.

  • Surgery Physician
  • Shreveport, LA
  • NPI 1912966771
  NPD
• Mason Tauer Garfield, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1548076656
  NPD (past)
• Kasi Lively

  • Student in an Organized Health Care Education/Training Program
  • Shreveport, LA
  • NPI 1699222190
  NPD (past)
• Christian Lococo, PA-S

  • Physician Assistant
  • Haughton, LA
  • NPI 1659022135
  NPD (past)
• Mary Emily May

  • Surgical Physician Assistant
  • Shreveport, LA
  • NPI 1528082781
  NPD (past)
• Courtney Moseley

  • Surgical Physician Assistant
  • Shreveport, LA
  • NPI 1225433865
  NPD (past)
• Mark H Smith, MD

  • Surgery Physician
  • Shreveport, LA
  • NPI 1104036458
  NPD (past)
• Forrest Holt Wright, M.D.

  • Surgery Physician
  • Shreveport, LA
  • NPI 1770675282
  NPD (past)
• Paul Derek Ware, MD

  • Surgery Physician
  • Gulfport, MS
  • NPI 1053374041

  Specialist

  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1124042585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR",
            "address_2": "STE 3-D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-221-4755",
            "fax_number": "318-424-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR",
            "address_2": "STE 3-D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-221-4755",
            "fax_number": "318-424-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. BYRD MD A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "318-221-4755"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449768",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Charles Charity, NP-BC
• Charles E Lyon, MD, Apmc
• Charles Hargon MD and Willis-Knighton Medical Center
• Charles L. Black Jr MD Surgical Clinic Corp
• Charles P. Werner, MD Apmc
• Charles Sale MD and Willis-Knighton Medical Center
• Fabia Charles
• Keely Charles
• Caroline Frances Chartier, MSN, MHA
• April Chase, ACNPC-AG

• Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.