NPIMap

Organization Active NPI

J Houston Bosley,M.D. a Medical Corporation

  • Otolaryngology Physician
  • Shreveport, LA
National Provider Identifier
1467574293
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
06657R Issued in LA
Legal business name
J HOUSTON BOSLEY,M.D. A MEDICAL CORPORATION
Practice address
2533 Bert Kouns Industrial Loop
Suite 104
Shreveport, LA 71118-3158
Phone
(318) 688-8801
Fax
(318) 688-8861
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Joseph Houston BosleyNPI 1619960119
Title
Owner
Phone
(318) 688-8801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 06657R LA Primary

Addresses

Primary practice location

2533 Bert Kouns Industrial Loop
Suite 104
Shreveport, LA 71118-3158

Mailing address

2533 Bert Kouns Industrial Loop
Suite 104
Shreveport, LA 71118-3158
Phone (318) 688-8801

Other identifiers 1

IdentifierTypeStateIssuer
1799611MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1467574293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183158",
            "telephone_number": "318-688-8801",
            "fax_number": "318-688-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183158",
            "telephone_number": "318-688-8801",
            "fax_number": "318-688-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J HOUSTON BOSLEY,M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HOUSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-688-8801",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "06657R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799611",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 17, 2008; 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.