Webb Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

721669340 Issued in LA

Legal business name

WEBB INTERNAL MEDICINE, LLC

Practice address

1811 E Bert Kouns Industrial Loop
Suite 480
Shreveport, LA 71105-5740

Phone

(318) 220-7047

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ethan A Webb, MD

Title

Owner

Phone

(318) 220-7047

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elisabeth Greber Wilson, NP

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1922305325
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1629019047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 E BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 480",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055740",
            "telephone_number": "318-220-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 480",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055740",
            "telephone_number": "318-220-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBB INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-220-7047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "721669340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1540030",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• We Care Transporttion Services LLC
• Jason Neville Weams, CSW
• Leonard Weather Jr., M.D.
• Kelly Rae Weaver, CPNP-PC
• Melissa D Weaver, CCC-SLP
• Charles W Webb, DO
• Darrell Webb, ED.D
• Demarkus Webb
• Jacquline Webb, CIT
• Latorris Webb, LPC

• 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 Dec 26, 2012; 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.