Active NPI
Cole Harry Evensky, MD
- Surgery Physician
- Shreveport, LA
National Provider Identifier
1619607660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 331466
- Practice address
- 2600 Greenwood Rd
Shreveport, LA 71103-3908 - Phone
- (318) 212-4000
- NPI assigned
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 331466 | LA | Primary |
Addresses
Primary practice location
2600 Greenwood Rd
Shreveport, LA 71103-3908
Mailing address
185 Ardmore Ave
Shreveport, LA 71105-2107
Phone (318) 426-6747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331466 | LA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1619607660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 ARDMORE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052107",
"telephone_number": "318-426-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GREENWOOD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033908",
"telephone_number": "318-212-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVENSKY",
"first_name": "COLE",
"middle_name": "HARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "331466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
- Theron Evans
- Timothy Tyler Evans, MD
- Tina C Evans
- Woodrow M. Evans
- Yomeka M Evans
- Dentte Everett
- Khakillya Babers Everett, NBCC, MA, NCC
- Evergreen Presbyterian Ministries, Inc. (South Highland Community Home)
- Evergreen Presbyterian Ministries, Inc. (Ravendale Community Home)
- Evergreen Presbyterian Ministries, Inc. (Terrace Drive Community Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.