Individual provider Active NPI

Mary Emily May

  • Surgical Physician Assistant
  • Shreveport, LA
National Provider Identifier
1528082781
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
A10449 Issued in LA
Practice address
2751 Albert L Bicknell Dr Ste 3D
Shreveport, LA 71103-3941
Phone
(318) 212-6710
NPI assigned
Jul 27, 2006
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X A10449 LA Primary

Addresses

Primary practice location

2751 Albert L Bicknell Dr Ste 3D
Shreveport, LA 71103-3941

Mailing address

2751 Albert L Bicknell Dr Ste 3D
Shreveport, LA 71103-3941
Phone (318) 212-6710

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000075 LA Practitioner - Physician Assistant 9436144862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Gynecologic Oncology ClinicGroup PAC ID 3779683115, 5 clinicians

Practice addresses (Care Compare)

2600 Greenwood Rd
Shreveport, LA 71103-3908

2600 Kings Hwy
Suite 420
Shreveport, LA 71103-3950
Phone (318) 212-8727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A10449LAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Surgery Apmc CurrentSince May 1, 2023 Accepting new patients
Charles R. Byrd MD a Professional PastSince Jun 30, 2024 Accepting new patients
WK South Hospitalists PastSince Jul 1, 2008 Accepting new patients

Locations

9007 Ellerbe Rd
Shreveport, LA 71106
Phone (318) 222-3278

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1528082781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 3D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033941",
            "telephone_number": "318-212-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 3D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033941",
            "telephone_number": "318-212-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "MARY",
        "middle_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "A10449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.