Active NPI
Panakeia Health Services, L.L.C.
Doing business as Stonewall Hospital
- Psychiatric Hospital
- Stonewall, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- PANAKEIA HEALTH SERVICES, L.L.C.
- Doing business as
- Stonewall Hospital
- Practice address
- 960 Hwy. 171 South
Stonewall, LA 71078 - Phone
- (318) 925-6660
- Fax
- (318) 925-6667
- NPI assigned
- Jun 5, 2007
- Last updated
- Jun 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suresh K Donepudi, M.D.
- Title
- President
- Phone
- (318) 688-5416
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
960 Hwy. 171 South
Stonewall, LA 71078
Mailing address
8921 Mansfield Rd
Shreveport, LA 71118-2144
Phone (318) 688-5416
Other names 1
- Stonewall Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 3
The Medicare certification numbers (CCNs) connected to NPI 1144422650. Details of each certification follow.
Hospital certification: CCN 194059
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- STONEWALL MEDICAL CENTER
- Certification status
- Terminated Voluntary: other reason for withdrawal, Dec 1, 2000
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Jan 26, 1996
- Last certification
- Jan 26, 1996
- Beds
- 12
- Ownership / control type
- Private (not for profit)
- Facility address
- 960 Hwy 171 South
Stonewall, LA 71078
Hospital certification: CCN 194064
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- GREEN HILL HOSPITAL
- Certification status
- Terminated Voluntary: other reason for withdrawal, Dec 15, 2002
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Oct 3, 2001
- Last certification
- Feb 14, 2002
- Beds
- 20
- Ownership / control type
- Private (for profit)
- Facility address
- 960 Hwy 171 South
Stonewall, LA 71078
Hospital certification: CCN 194068
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- GREEN HILL HOSPITAL
- Certification status
- Terminated Voluntary: other reason for withdrawal, Dec 17, 2004
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Jun 10, 2003
- Last certification
- May 30, 2003
- Beds
- 20
- Ownership / control type
- Private (not for profit)
- Facility address
- 960 Hwy 171
Stonewall, LA 71078
National Provider Directory
National Provider DirectoryLocations
3321 Youree Dr
Shreveport, LA 71105
Phone (318) 868-1296
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Shreveport, LA
- NPI 1922075035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1144422650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8921 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182144",
"telephone_number": "318-688-5416",
"fax_number": "318-415-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 HWY. 171 SOUTH",
"city": "STONEWALL",
"state": "LA",
"postal_code": "71078",
"telephone_number": "318-925-6660",
"fax_number": "318-925-6667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANAKEIA HEALTH SERVICES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "DONEPUDI",
"authorized_official_first_name": "SURESH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-688-5416",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stonewall Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Stonewall, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.