Organization Active NPI

Nancy Germany MD and Willis-Medical Center

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1205862877
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NANCY GERMANY MD AND WILLIS-MEDICAL CENTER
Practice address
6821 Pines Rd
Suite 100
Shreveport, LA 71129-2547
Phone
(318) 687-5500
Fax
(318) 687-5503
NPI assigned
Jun 24, 2006
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Greg J. Gavin
Title
Network Administrator
Phone
(318) 687-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6823 Pines Rd
Ste A
Shreveport, LA 71129
Phone (318) 603-0440

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1205862877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 PINES RD",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292547",
            "telephone_number": "318-687-5500",
            "fax_number": "318-687-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 PINES RD",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292547",
            "telephone_number": "318-687-5500",
            "fax_number": "318-687-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY GERMANY MD AND WILLIS-MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-687-5500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family 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 Aug 5, 2009; 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.