Choice Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15345R Issued in LA

Legal business name

CHOICE PEDIATRICS, LLC

Practice address

6930 Fern Ave
Suite 150
Shreveport, LA 71105-4100

Phone

(318) 290-3673

Fax

(318) 290-3672

NPI assigned

Sep 8, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Olabode O Desalu, MD

Title

Owner

Phone

(318) 290-3673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1316228984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5866",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711355866",
            "telephone_number": "318-290-3673",
            "fax_number": "318-290-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 FERN AVE",
            "address_2": "SUITE 150",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054100",
            "telephone_number": "318-290-3673",
            "fax_number": "318-290-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "DESALU",
        "authorized_official_first_name": "OLABODE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-290-3673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "15345R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choate Medical Services LLC
• Jaclyn Choate, MD
• Richard Zachary Choate, NP
• Taeyong Choi, M.D.
• Choice Counseling Services
• Choices Coordinated Care Solutions, Inc.
• Himanshu Chokhawala
• Jessica M Chong, MD
• Kevin Chow, M.D.
• Paramjit Chowdhry, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.