Van Associates Nephrology LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

VAN ASSOCIATES NEPHROLOGY LLC

Practice address

1800 Irving PL
Shreveport, LA 71101-4608

Phone

(318) 425-4096

NPI assigned

Jan 10, 2021

Organization subpart

No

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

Authorized official

Name

Peter Van, MD

Title

Owner

Phone

(954) 655-6852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610236800000",
    "number": "1306434832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10297 ELLERBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 IRVING PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014608",
            "telephone_number": "318-425-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN ASSOCIATES NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-655-6852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Vallia
• Chassidy Vallian
• Harold J Vallot Jr., CRNA
• Amanda Van Dyke, MOT, OTR/L
• Carter Van Horn
• Chuong Van, PHARM D
• Jenna Van, MSN
• Louis Jacob Vanasselberg, MS, LPC, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.