J. Gary Booker, MD, Apmc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD017803 Issued in LA

Legal business name

J. GARY BOOKER, MD, APMC

Practice address

851 Olive St
Shreveport, LA 71104-2136

Phone

(318) 227-9600

Fax

(318) 227-9601

NPI assigned

Jul 30, 2007

Last updated

Jul 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. J. Gary Booker, MD

Title

President

Phone

(318) 227-9600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Howard Haynie Jr., M.D.

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1588664080
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1518157189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042136",
            "telephone_number": "318-227-9600",
            "fax_number": "318-227-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042136",
            "telephone_number": "318-227-9600",
            "fax_number": "318-227-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. GARY BOOKER, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-227-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD017803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1013916642",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901750",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J and L A1 Transportation LLC
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• J Woodfin Wilson MD & Willis-Knighton Medical Center
• J&R Transport LLC
• Keshia Ashley Jabbar, LPC
• Jack Berg MD & Willis-Knighton Medical Center
• Jackson and Jackson Express Transport LLC
• Tralais R Jackson-Tillman

• Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.