Geriatric Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

L010682 Issued in LA

Legal business name

GERIATRIC MEDICAL CORPORATION

Practice address

7813 Youree Dr
Shreveport, LA 71105-5505

Phone

(318) 212-3830

Fax

(318) 212-3835

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David T Henry, M.D.

Title

Physician

Phone

(318) 212-3830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1215185855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GRIMMETT DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076502",
            "telephone_number": "318-212-3830",
            "fax_number": "318-212-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055505",
            "telephone_number": "318-212-3830",
            "fax_number": "318-212-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-212-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "L010682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1096156",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria-Magdalena Georgescu, M.D., PH.D.
• Elonda Gerard
• Gerardon Negron and Willis-Knighton Medical Center
• Caitlin Gerding
• Andrew Geren, MFT-INTERN
• Geriatric Nurse Practitioner Consultants Inc
• Germain S Cassiere MD & Willis-Knighton Medical Center
• Carrie Michael German, M.D.
• Jeffrey Allen German, M.D.
• O Allen German, MD

• Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.