Organization Active NPI

Thomas a Reilly MD Apmc

Doing business as Shreveport Geriatrics

  • Geriatric Medicine (Internal Medicine) Physician
  • Shreveport, LA
National Provider Identifier
1558580357
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
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

Updated by the provider on Apr 29, 2008

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1948799MedicaidLA

Other names 1

  • Shreveport Geriatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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

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.

Verify at the official NPI Registry.