Individual provider Active NPI

David R Easterling, MD

  • Emergency Medicine Physician
  • Shrevport, LA
National Provider Identifier
1427187111
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
022603 Issued in LA
Practice address
2510 Bert Kouns Industrial Loop
Shrevport, LA 71118
Phone
(318) 212-5500
Fax
(318) 212-5358
NPI assigned
Mar 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 022603 LA Primary

Addresses

Primary practice location

2510 Bert Kouns Industrial Loop
Shrevport, LA 71118

Mailing address

PO Box 32600
Shrevport, LA 71130-2600
Phone (318) 212-4877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060116000140 LA Practitioner - Emergency Medicine 0749204998 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lasalle Parish Hospital Service Dist No1Group PAC ID 6709781545, shared by 5 NPIs, 22 clinicians

Practice addresses (Care Compare)

1102 N Pine Rd
Olla, LA 71465-4804
Phone (318) 495-3131

1102 N Pine Rd
Hartner Medical Center
Urania, LA 71480
Phone (240) 686-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022603LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Lake Emergency Group, LLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Apr 1, 2019 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince May 19, 2019 Accepting new patients
Island Medical Winnsboro LLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Lasalle Parish Hospital Service Dist No1 CurrentSince Apr 1, 2019 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince Apr 21, 2019 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince Apr 21, 2019 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Lasalle Hospital Service Dist #1 Emergency Medicine Past Accepting new patients

Locations

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

Organizations & group practices 9

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 1

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427187111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32600",
            "city": "SHREVPORT",
            "state": "LA",
            "postal_code": "711302600",
            "telephone_number": "318-212-4877",
            "fax_number": "318-212-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-212-5500",
            "fax_number": "318-212-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLING",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "022603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrevport, LA

Sources for this page

Verify at the official NPI Registry.