DRS. Mitchell & Montgomery

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DRS. MITCHELL & MONTGOMERY

Practice address

2508 Bert Kouns Loop Ste 401
Shreveport, LA 71118-3154

Phone

(318) 686-5440

Fax

(318) 686-0624

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By 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

Mrs. Dora Burley

Title

Office Manager

Phone

(318) 686-5440

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1326210923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS LOOP STE 401",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183154",
            "telephone_number": "318-686-5440",
            "fax_number": "318-686-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS LOOP STE 401",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183154",
            "telephone_number": "318-686-5440",
            "fax_number": "318-686-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MITCHELL & MONTGOMERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BURLEY",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-686-5440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2431",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.