Organization Active NPI

Panakeia Health Services, L.L.C.

  • Psychiatric Hospital
  • Stonewall, LA
National Provider Identifier
1144422650
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
PANAKEIA HEALTH SERVICES, L.L.C.
Practice address
960 Hwy. 171 South
Stonewall, LA 71078
Phone
(318) 925-6660
Fax
(318) 925-6667
NPI assigned
Jun 5, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Suresh K Donepudi, M.D.
Title
President
Phone
(318) 688-5416

National Provider Directory

National Provider Directory

Locations

3321 Youree Dr
Shreveport, LA 71105
Phone (318) 868-1296

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

960 Hwy. 171 South
Stonewall, LA 71078

Mailing address

8921 Mansfield Rd
Shreveport, LA 71118-2144
Phone (318) 688-5416

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
194093OtherLAMEDICARE PROVIDER NUMBER

Other names 1

NPPES NPI Registry
  • Stonewall Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "194093",
            "state": "LA"
        }
    ],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.