Active NPI
Thomas a Reilly MD Apmc
Doing business as Shreveport Geriatrics
- Geriatric Medicine (Internal Medicine) Physician
- Shreveport, LA
National Provider Identifier
1558580357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- THOMAS A REILLY MD APMC
- Doing business as
- Shreveport Geriatrics
- Practice address
- 850 Margaret PL
Shreveport, LA 71101-4521 - Phone
- (318) 222-8187
- Fax
- (318) 424-2637
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas A Reilly, MD
- Title
- Owner
- Phone
- (318) 222-8187
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
850 Margaret PL
Shreveport, LA 71101-4521
Mailing address
PO Box 1768
Shreveport, LA 71116-1768
Phone (318) 677-7450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1948799 | Medicaid | LA |
Other names 1
- Shreveport Geriatrics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1558580357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1768",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711161768",
"telephone_number": "318-677-7450",
"fax_number": "318-425-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 MARGARET PL",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014521",
"telephone_number": "318-222-8187",
"fax_number": "318-424-2637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS A REILLY MD APMC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "REILLY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-222-8187",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1948799",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shreveport Geriatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shreveport, LA
- Christopher David Thiels, PHARM.D.
- Samantha Thiemann, PT, DPT
- Third Future Schools - Louisiana
- Todd Gary Thoma, M.D.
- Thomas a Pressly III Apmc
- Thomas E McNeely DDS Ms Apc
- Thomas E. Kinstrey a Medical Corporation
- Thomas J. Worgul, M.D., Apmc
- Thomas K Judd MD and Willis-Knighton Medical Center
- Thomas V Allen MD and Willis-Knighton Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.