Northwest Surgical Specialists Inc.

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

201400 Issued in LA

Legal business name

NORTHWEST SURGICAL SPECIALISTS INC.

Practice address

1801 Fairfield Ave
Suite 408
Shreveport, LA 71101-4468

Phone

(318) 675-1322

Fax

(318) 675-1332

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Antoinette Pittman, MD

Title

Owner

Phone

(318) 675-1322

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Abdehou, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1568471993
  NPD (past)
• Tom P Senff, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1376518225
  NPD (past)
• Eric Joel Weil, MD

  • Pediatrics Physician
  • Baton Rouge, LA
  • NPI 1295872372
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1457531089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 408",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014468",
            "telephone_number": "318-675-1322",
            "fax_number": "318-675-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 408",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014468",
            "telephone_number": "318-675-1322",
            "fax_number": "318-675-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SURGICAL SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-675-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "LA",
            "license": "201400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041611",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Louisiana Nephrology, LLC
• Northwest Louisiana Physical Medicine
• Northwest Lousiana Human Services District
• Northwest Lousiana Human Services District
• Northwest Regional Transportation
• Matthew Norton
• Paul Norton, MD
• Stephen Wesley Norton, R.PH.
• Norwood Surgical Specialists, LLC
• Haley Norwood

• Surgical Critical Care Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Surgical Critical Care Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.