Individual provider Active NPI

George Mychaskiw II, D.O.

  • Anesthesiology Physician
  • Shreveport, LA
National Provider Identifier
1609967017
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
321616 Issued in LA
Practice address
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-0000
Fax
(318) 629-4833
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 321616 LA Primary

Addresses

Primary practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1512 W Kirby PL
Shreveport, LA 71103-3822

Other practice location 1

1717 S. Orange Ave
Orlando, FL 32806-2946
Phone (407) 650-7715

Other identifiers 3

IdentifierTypeStateIssuer
00112233MedicaidMS
P00622803OtherMSRAILROAD MEDICARE
050069240OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, WV, WI, LA, CA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20071128000503 MS Practitioner - Anesthesiology 0749379733 Reassigns benefits to 1 organization
I20181126003042 WV Practitioner - Anesthesiology 0749379733 Reassigns benefits to 2 organizations
I20181205001638 WI Practitioner - Anesthesiology 0749379733 Reassigns benefits to 2 organizations
I20200109000216 LA Practitioner - Anesthesiology 0749379733 Reassigns benefits to 1 organization
I20250626004023 CA Practitioner - Anesthesiology 0749379733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Southern California PCGroup PAC ID 5890273403, 13 clinicians
Palm Springs Anesthesia Services PCGroup PAC ID 6406049592, 90 clinicians
Anesthesia Services of San Joaquin PCGroup PAC ID 4082754056, 75 clinicians

Practice addresses (Care Compare)

1001 N Tustin Ave
Santa Ana, CA 92705-3502
Phone (714) 953-3500

1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9350

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

Hospital & facility affiliations

  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Orange County Global Medical Center Hospital, Santa Ana, CA, CCN 050746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
321616LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of San Joaquin, P.C. Anesthesiology CurrentSince Apr 14, 2025 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Nov 12, 2018 Accepting new patients
MCHS Hospitals Inc Anesthesiology Current Accepting new patients
River Cities Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 12, 2018 Accepting new patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Apr 14, 2025 Accepting new patients
Anesthesia Associates of Southern California PC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 12, 2018 Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Anesthesiology CurrentSince Oct 2, 2018 Accepting new patients
Bcom Multispecialty Clinic LLC Current Accepting new patients
Northstar Anesthesia of Mississippi, LLC Anesthesiology CurrentSince May 5, 2018 Accepting new patients
University Anesthesia Services, PLLC Anesthesiology Past Accepting new patients
TPS II of PA, LLC Anesthesiology Past Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

415 E Harding Way
Ste E
Stockton, CA 95204
Phone (209) 337-4935

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Interoperability endpoints

  • Direct secure messaging: gmychaskiw38964@direct.nemours.org

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609967017",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0000",
            "fax_number": "318-629-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 S. Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062946",
            "country_code": "US",
            "telephone_number": "407-650-7715",
            "fax_number": "407-650-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYCHASKIW",
        "first_name": "GEORGE",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "321616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112233",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00622803",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050069240",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.