Gail M Amison, MD
Individual provider Active NPI Family Medicine Physician · Shreveport, LA
NPI 1194760587 · NPPES record last updated Apr 1, 2009
Key facts
- NPI
- 1194760587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 15174R (LA)
- Practice address
- 6821 Pines Rd
Suite 100
Shreveport, LA 71129-2547 - Phone
- (318) 687-5500
- Fax
- (318) 687-5503
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15174R | LA | Yes |
Addresses
Primary practice location
6821 Pines Rd
Suite 100
Shreveport, LA 71129-2547
Mailing address
6821 Pines Rd
Suite 100
Shreveport, LA 71129-2547
Phone (318) 687-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1168009 | Medicaid | LA |
Other providers in Shreveport, LA
- American Physicians, Inc
- American Red Cross - Northwest Louisiana Chapter
- Ameriwest Health Services, Inc
- Barisere Amidou
- Dev Amin
- Carlos I Amos
- Federico Laurel Ampil
- Chaitanya Amrutkar
- Amy Smiley NP and Willis-Knighton Medical Center
- An Endless Care Service
All providers in Shreveport, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.