NPIMap

Organization Active NPI

Ahp of Northwestern Louisiana LLC

Doing business as AHP of Northwestern Louisiana

  • Anesthesiology Physician
  • Shreveport, LA
National Provider Identifier
1376771154
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AHP OF NORTHWESTERN LOUISIANA LLC
Doing business as
AHP of Northwestern Louisiana
Practice address
385 Bert Kouns Industrial Loop
Building 300
Shreveport, LA 71106-8158
Phone
(318) 212-0552
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Mr. Gregory Wachowiak
Title
President
Phone
(770) 945-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

385 Bert Kouns Industrial Loop
Building 300
Shreveport, LA 71106-8158

Mailing address

3079 Peachtree Industrial Blvd
Duluth, GA 30097-2215
Phone (770) 945-5330

Other names 1

  • AHP of Northwestern Louisiana Doing business as

National Provider Directory

National Provider Directory

Locations

385 Bert Kouns Loop
Bldg 300
Shreveport, LA 71106
Phone (318) 212-0552

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1376771154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 PEACHTREE INDUSTRIAL BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972215",
            "telephone_number": "770-945-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "BUILDING 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068158",
            "telephone_number": "318-212-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHP OF NORTHWESTERN LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "WACHOWIAK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-945-5330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHP of Northwestern Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 30, 2009; 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.