Organization Active NPI

Anesthesiology and Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Shreveport, LA
National Provider Identifier
1164514774
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ANESTHESIOLOGY AND PAIN MANAGEMENT
Practice address
1666 E Bert Kouns Loop
Suite 125
Shreveport, LA 71105-5714
Phone
(318) 752-7960
Fax
(318) 752-7880
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Sudarshan Tanga, MD
Title
Ceo
Phone
(318) 752-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1666 E Bert Kouns Loop
Suite 125
Shreveport, LA 71105-5714

Mailing address

1666 E Bert Kouns Loop
Suite 125
Shreveport, LA 71105-5714
Phone (318) 752-7960

National Provider Directory

National Provider Directory

Locations

2400 Hospital Dr
Ste 330
Bossier City, LA 71111
Phone (318) 212-7960

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1164514774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 E BERT KOUNS LOOP",
            "address_2": "SUITE 125",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055714",
            "telephone_number": "318-752-7960",
            "fax_number": "318-752-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 E BERT KOUNS LOOP",
            "address_2": "SUITE 125",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055714",
            "telephone_number": "318-752-7960",
            "fax_number": "318-752-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGY AND PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "TANGA",
        "authorized_official_first_name": "SUDARSHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-752-7960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.