Active NPI
Philip Donald Isherwood, M.D.
- Addiction Medicine (Family Medicine) Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 13714R
- Practice address
- 1501 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 675-5185
- Fax
- (318) 675-7950
- NPI assigned
- Jun 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13714R | LA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 13714R | LA | Primary |
Addresses
Primary practice location
1501 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1423131 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230731000895 | LA | Practitioner - Family Practice | 6406744200 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Applegate Health Services Inc
Practice addresses (Care Compare)
1605 Benton Rd
Suite D
Bossier City, LA 71111-3579
Phone (318) 716-3814
3001 Armand St
Suite a
Monroe, LA 71201-3761
Phone (318) 582-2335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applegate Health Services, Inc. | Current | Accepting new patients | |
| Baymark Health Services of Louisiana, Inc. | Current | Accepting new patients | |
| Applegate Health Services, Inc | Current | Accepting new patients | |
| Applegate Health Services, Inc. | Past | Accepting new patients | |
| Applegate Health Services, Inc. | Past | Accepting new patients | |
| Applegate Health Services, Inc | Past | Accepting new patients | |
| Applegate Health Services, Inc | Past | Accepting new patients | |
| Baymark Health Services of Louisiana, Inc. | Past | Accepting new patients | |
| New Day Recovery, LLC | Past | Accepting new patients | |
| Baymark Health Services of Louisiana, Inc. | Past | Accepting new patients | |
| New Day Recovery, LLC | Past | Accepting new patients | |
| Baymark Health Services of Louisiana, Inc. | Past | Accepting new patients |
Locations
2116 N Bolton Ave
Alexandria, LA 71303
Phone (318) 441-0200
1605 Benton Rd
Ste D
Bossier City, LA 71111
Phone (318) 716-3814
648 Latiolais Dr
Breaux Bridge, LA 70517
Phone (337) 332-4878
615 Pride Dr
Hammond, LA 70401
Phone (985) 215-8978
128 Woodland Dr
La Place, LA 70068
Phone (985) 287-5572
3001 Armand St
Ste A
Monroe, LA 71201
Phone (318) 388-2203
700 Gause Blvd
Ste 103
Slidell, LA 70458
Phone (985) 643-3100
1720 Lakepointe Dr
Ste 117
Lewisville, TX 75057
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lake Charles, LA
- NPI 1346775210
LA
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lewisville, TX
- NPI 1447774054
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1912487299
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Middletown, KY
- NPI 1326500059
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fairmont, WV
- NPI 1447969878
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Oakdale, LA
- NPI 1548893563
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Laplace, LA
- NPI 1922654946
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Jasper, AL
- NPI 1891494415
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Slidell, LA
- NPI 1699396085
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Monroe, LA
- NPI 1801326723
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bossier City, LA
- NPI 1710412960
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Breaux Bridge, LA
- NPI 1053823369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1497781611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-675-5185",
"fax_number": "318-675-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-675-5185",
"fax_number": "318-675-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHERWOOD",
"first_name": "PHILIP",
"middle_name": "DONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "13714R",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "LA",
"license": "13714R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1423131",
"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 Apr 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.