Active NPI
Awason Medical Group Inc
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
National Provider Identifier
1326201112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AWASON MEDICAL GROUP INC
- Practice address
- 7505 Pines Rd
Ste 1255
Shreveport, LA 71129-3923 - Phone
- (318) 703-9122
- NPI assigned
- Jul 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Idongesit A. Umoette
- Title
- Ceo
- Phone
- (318) 703-9122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
7505 Pines Rd
Ste 1255
Shreveport, LA 71129-3923
Mailing address
7505 Pines Rd
Ste 1255
Shreveport, LA 71129-3923
Phone (318) 703-9122
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1326201112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 PINES RD",
"address_2": "STE 1255",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711293923",
"telephone_number": "318-703-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 PINES RD",
"address_2": "STE 1255",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711293923",
"telephone_number": "318-703-9122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWASON MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "UMOETTE",
"authorized_official_first_name": "IDONGESIT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "318-703-9122",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 2, 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.