David R Easterling, MD
Individual provider Active NPI Emergency Medicine Physician · Shrevport, LA
NPI 1427187111 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1427187111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 022603 (LA)
- Practice address
- 2510 Bert Kouns Industrial Loop
Shrevport, LA 71118 - Phone
- (318) 212-5500
- Fax
- (318) 212-5358
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 No1
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
- Hardtner Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060116000140 | LA | Practitioner - Emergency Medicine | 0749204998 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022603 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lasalle Parish Hospital Service District #1 | Current |
Accepting new patients | |
| Nes Louisiana Inc | Emergency Medicine | Current |
Accepting new patients |
| Island Medical Winnsboro LLC | Emergency Medicine | Current |
Accepting new patients |
| Lasalle Parish Hospital Service District #1 | Current |
Accepting new patients | |
| Cross Lake Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Lasalle Parish Hospital Service Dist No1 | Current |
Accepting new patients | |
| Nes Louisiana Inc | Emergency Medicine | Current |
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
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000
2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 022603 | LA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1691712 | Medicaid | LA |
Other providers in Shrevport, LA
All providers in Shrevport, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.