Active NPI
Tiffany Alexis Najberg, D.O.
- Emergency Medicine Physician
- Shreveport, LA
National Provider Identifier
1609069103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO.000009
- Practice address
- 201 Market St
Shreveport, LA 71101-2830 - Phone
- (318) 801-4120
- NPI assigned
- Aug 20, 2007
- Last updated
- Jan 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | DO.000009 | LA | |
| Emergency Medicine Physician | 207P00000X | DO.000009 | LA | Primary |
Addresses
Primary practice location
201 Market St
Shreveport, LA 71101-2830
Mailing address
201 Market St
Shreveport, LA 71101-2830
Phone (318) 299-6512
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1064203 | Medicaid | LA | |
| 02408202 | Medicaid | MS |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| South Central Physicians PLLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord North Texas, PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
Interoperability endpoints
- christopher.najberg@217526021193732.direct.elationemr.com
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673740800000",
"number": "1609069103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MARKET ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711012830",
"telephone_number": "318-299-6512",
"fax_number": "318-299-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MARKET ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711012830",
"telephone_number": "318-801-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAJBERG",
"first_name": "TIFFANY",
"middle_name": "ALEXIS",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2023-01-15",
"certification_date": "2023-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "LA",
"license": "DO.000009",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "DO.000009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1064203",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02408202",
"state": "MS"
}
],
"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 Jan 15, 2023; 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.