Active NPI
Lester Cox Morehead III, M.D.
- Internal Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 203154
- Practice address
- 1501 Kings Highway
Louisiana State University Health Sciences Center
Shreveport, LA 71104-0000 - Phone
- (318) 675-5621
- NPI assigned
- Jan 12, 2009
- Last updated
- Mar 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 203154 | LA | Primary |
Addresses
Primary practice location
1501 Kings Highway
Louisiana State University Health Sciences Center
Shreveport, LA 71104-0000
Mailing address
1512 W Kirby PL
Shreveport, LA 71103-3822
Phone (318) 675-7636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1887218 | Medicaid | LA | |
| 4M130F600 | Other | LA | MEDICARE - PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queens Medical Center | Current | Accepting new patients | |
| The Queen's Medical Center | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| John J Cogan MD Inc | Past | Accepting new patients |
Locations
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- Interventional Cardiology Physician
- Honolulu, HI
- NPI 1396898557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1609013721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 W KIRBY PL",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033822",
"telephone_number": "318-675-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HIGHWAY",
"address_2": "LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711040000",
"telephone_number": "318-675-5621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREHEAD",
"first_name": "LESTER",
"middle_name": "COX",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-12",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "203154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1887218",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PTAN",
"identifier": "4M130F600",
"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 Mar 2, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.