Active NPI
William V Spires, MD
- Surgery Physician
- Shreveport, LA
National Provider Identifier
1487667622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 013628
- Practice address
- 510 E Stoner Ave
Department of Surgery
Shreveport, LA 71101-4243 - Phone
- (318) 990-4989
- NPI assigned
- Aug 15, 2006
- Last updated
- Dec 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 013628 | LA | Primary |
Addresses
Primary practice location
510 E Stoner Ave
Department of Surgery
Shreveport, LA 71101-4243
Mailing address
510 E Stoner Ave
Department of Surgery
Shreveport, LA 71101-4243
Phone (318) 990-4989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1333425 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1487667622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E STONER AVE",
"address_2": "DEPARTMENT OF SURGERY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014243",
"telephone_number": "318-990-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E STONER AVE",
"address_2": "DEPARTMENT OF SURGERY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014243",
"telephone_number": "318-990-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRES",
"first_name": "WILLIAM",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "013628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1333425",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
- Noah James Spillers, MD
- Shyanne Spillers
- Spinal Innovations & Rehab, LLC (Spinal Innovations)
- Spine Institute of Louisiana LLC (Spine Institute of Louisiana)
- Shonda Knox Spires, B.S., RRT-NPS, CPFT
- Sportmedica, LLC
- Kimberly Spotts, PA-C
- Spring Lake Surgery Center, LLC
- Springlake Alf SCC LLC (The Gables at Spring Lake)
- Springlake SCC LLC (Spring Lake Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.