Mca Specialists Hospital, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

014572 Issued in LA

Legal business name

MCA SPECIALISTS HOSPITAL, LLC

Practice address

1500 Line Ave
Shreveport, LA 71101-4639

Phone

(318) 797-1743

Fax

(318) 797-7599

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David C Deas, M.D.

Title

President

Phone

(318) 797-1743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1285023010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 E 70TH ST STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055347",
            "telephone_number": "318-797-1743",
            "fax_number": "318-797-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014639",
            "telephone_number": "318-797-1743",
            "fax_number": "318-797-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCA SPECIALISTS HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "DEAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-797-1743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "014572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Mazur, MAC
• Gary Bernard Mazzanti, M.D.
• Ifeyinwa R Mbadugha
• Grace Mbenkum
• Mbrace Wellness, LLC
• Angelo McAllister
• Jeannie Shim McAllister, PA-C
• Leslie Michelle McAnn May, OT
• Robert Kaufman McAtee Jr., R.D., LDN
• Brenda McAteer, LMT

• Anesthesiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.