Active NPI
Dana S Wheeler, M.D.
- Anesthesiology Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 07520R
- Practice address
- 1945 E 70TH St
Suite B
Shreveport, LA 71105-5347 - Phone
- (318) 797-1743
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 07520R | LA | Primary |
Addresses
Primary practice location
1945 E 70TH St
Suite B
Shreveport, LA 71105-5347
Mailing address
PO Box 52448
Shreveport, LA 71135-2448
Phone (318) 797-1743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1904694 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Louisville School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone (318) 212-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07520R | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shreveport Anesthesia | Anesthesiology | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Anesthesiology | Current | Accepting new patients |
| Willis Knighton Medical Center Inc. Crna Group | Anesthesiology | Current | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients |
Locations
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000
1945 E 70th St
Ste B
Shreveport, LA 71105
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
255 Bert Kouns Loop
Shreveport, LA 71106
Phone (318) 682-4590
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1952355810
-
dba Willis Knighton Anesthesia Services
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Anesthesiology
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1326027467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52448",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711352448",
"telephone_number": "318-797-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 E 70TH ST",
"address_2": "SUITE B",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055347",
"telephone_number": "318-797-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "DANA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "07520R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1904694",
"state": "LA"
}
],
"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 Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.