NPIMap

Individual provider Active NPI

John G Noles, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bossier City, LA
National Provider Identifier
1417937012
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD.199995 Issued in LA
Practice address
2449 Hospital Dr Ste 300
Bossier City, LA 71111-1910
Phone
(318) 212-3636
Fax
(318) 212-3649
NPI assigned
Jan 19, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 199995 LA
Pain Medicine (Anesthesiology) Physician 207LP2900X MD.199995 LA Primary
Interventional Pain Medicine Physician 208VP0014X MD.199995 LA

Addresses

Primary practice location

2449 Hospital Dr Ste 300
Bossier City, LA 71111-1910

Mailing address

2449 Hospital Dr
Ste 300
Bossier City, LA 71111-1910
Phone (318) 212-3636

Other identifiers 1

IdentifierTypeStateIssuer
1626031MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000462 LA Practitioner - AnesthesiologyPractitioner - Pain Management 1355243031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Spine and Pain SpecialistsGroup PAC ID 0547569840, 12 clinicians

Practice addresses (Care Compare)

1811 E Bert Kouns Industrial Loop
Suite 300
Shreveport, LA 71105-5751
Phone (318) 212-7960

2449 Hospital Dr
Suite 300
Bossier City, LA 71111-1910
Phone (318) 212-7960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199995LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Spine & Pain Specialists Interventional Pain Medicine CurrentSince May 1, 2016 Accepting new patients
Anesthesia Consultants of Longview Anesthesiology Past Accepting new patients
Anesthesia Consultants Past Accepting new patients

Locations

2449 Hospital Dr
Ste 300
Bossier City, LA 71111
Phone (318) 212-3636

1811 E Bert Kouns Industrial Loop
Ste 300
Shreveport, LA 71105
Phone (318) 212-3636

Interoperability endpoints

  • Direct secure messaging: jnoles@direct.wkhs.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417937012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "STE 300",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111910",
            "telephone_number": "318-212-3636",
            "fax_number": "318-212-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 300",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111910",
            "telephone_number": "318-212-3636",
            "fax_number": "318-212-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLES",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "199995",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "LA",
            "license": "MD.199995",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "MD.199995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626031",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.