Neurology & Headache Center Inc

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

MD204501 Issued in LA

Legal business name

NEUROLOGY & HEADACHE CENTER INC

Practice address

3555 Youree Dr
Shreveport, LA 71105-2119

Phone

(318) 865-1200

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suresh KumarNPI 1639375793

Title

Owner

Phone

(318) 865-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suresh Kumar, M.D.

  • Neurology Physician
  • Shreveport, LA
  • NPI 1639375793
  Medicare reassignment Authorized official
• Crystal Normand Bibbee, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1114801230
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1326220955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052119",
            "telephone_number": "318-865-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY & HEADACHE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-865-1200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "LA",
            "license": "MD204501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Neshatfar
• John Kevin Netterville, MD
• William R Netterville Jr., CRNA
• Mark Nettles, LPC
• Shila Neupane, MD
• Neurology & Headache Center Inc.
• Neurology & Sleep Clinic a Professional Medical Corp
• Neurostem LLC
• Neurosurgical Associates at WK
• Neurotrix, Inc.

• Neuromusculoskeletal Medicine & OMM Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.