John G Underwood II, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L03841 Issued in LA

Practice address

9091 Ellerbe Rd
Ste 200
Shreveport, LA 71106-6738

Phone

(318) 681-1630

Fax

(318) 681-1632

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: junderwood155514@christushealth.direct-ci.net

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.

• Internal Medical Associates of Doctors Hospital

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1346208170
  NPD (past)
• Lifecare Hospitals LLC

  • Long Term Care Hospital
  • Shreveport, LA
  • NPI 1245389535
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619937802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 ELLERBE RD",
            "address_2": "STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066738",
            "telephone_number": "318-681-1630",
            "fax_number": "318-681-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "L03841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300675",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarwat Umer, M.D.
• Daniel Frank Umoh, M.D.
• Ukeme Umoh
• Unbroken Counseling, LLC
• Unconditional Care Behavioral Center
• James Bernard Unger, M.D.
• Uniquelytailored Sitter Service
• United Investment Group of Louisiana, LLC
• Unity DME Supply
• Universal Geriatric Medicine Consultants

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.