Delta Nephrology LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

DELTA NEPHROLOGY LLC

Practice address

745 Olive St
Suite 200
Shreveport, LA 71104-2246

Phone

(318) 226-0809

Fax

(318) 226-0812

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Randall G White, MDNPI 1801851522

Title

Owner

Phone

(318) 226-0809

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall G White, MD

  • Nephrology Physician
  • Shreveport, LA
  • NPI 1801851522
  Medicare reassignment Care Compare group NPD Authorized official
• Heather White, MPAS

  • Physician Assistant
  • Shreveport, LA
  • NPI 1295216125
  Medicare reassignment Care Compare group
• Nancy Poshedley Alexander, RNC / FNP

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1225225782
  NPD (past)
• John Stephen Kilpatrick, MD

  • Nephrology Physician
  • Shreveport, LA
  • NPI 1629187422
  NPD (past)
• Henry Jackson Kiser, MD

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1841235488
  NPD (past)
• Henry Edward Wood Jr., MD

  • Nephrology Physician
  • Shreveport, LA
  • NPI 1447242680
  NPD (past)
• Mary Rocks Zapczynski, APRN-BC

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1861682205
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1356713440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711651684",
            "telephone_number": "318-424-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042246",
            "telephone_number": "318-226-0809",
            "fax_number": "318-226-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-226-0809",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kervins Delphonse, PT, DPT
• Delta Medical Services
• Delta Medical Services
• Delta Medical Services
• Delta Medical Services
• Francis Joseph Demarco, MD
• Jennifer Demars
• Katrina Demars
• Monte' Demars
• Alivia Demery

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.