Shreveport Doctors' Hospital

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

SHREVEPORT DOCTORS' HOSPITAL

Practice address

1130 Louisiana Ave
Shreveport, LA 71101-3908

Phone

(318) 227-1211

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Brian Kirk

Title

Chief Financial Officer

Phone

(318) 678-4206

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124229398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676689",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676689",
            "telephone_number": "972-705-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013908",
            "telephone_number": "318-227-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREVEPORT DOCTORS' HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-678-4206"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1749150",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shreveport Behavioral Health Clinic
• Shreveport Center for Oral and Facial Surgery, L.L.C.
• Shreveport Chiropractic
• Shreveport Diabetic Shoes,LLC
• Shreveport Doctors Hospital 2003, LTD.
• Shreveport Doctors' Hospital
• Shreveport Endoscopy Center, a Medical Corporation
• Shreveport Eye Clinic a Medical Corp
• Shreveport Eye Specialists, LLC
• Shreveport Family Medicine Inc

• All providers in Shreveport, LA
• Rehabilitation Hospital Unit in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.