Medical Center Anesthesiologists
Organization Active NPI Anesthesiology Physician · Shreveport, LA
NPI 1669469748 · NPPES record last updated Jan 13, 2012
Key facts
- NPI
- 1669469748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- MEDICAL CENTER ANESTHESIOLOGISTS
- Practice address
- 1 Saint Mary PL
Anesthesia Dept
Shreveport, LA 71101-4343 - Phone
- (318) 681-4440
- Fax
- (318) 681-6862
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. David Collins Deas, MD
- Title
- Chief of Anesthesia- President
- Phone
- (318) 681-4440
Practitioners 79
-
Christopher Gordon Baker, M.D.
-
Brian Lee Crenshaw, M.D.
-
Gary Gill, MD
-
Chloe Claudette Kinley, CRNA
-
Paul Norton, MD
-
Rathmony Rama, MD
-
Ronald Daniel Vincent, CRNA
-
Lindsay Procell, CRNA
-
Brady Thompson, CRNA
-
Ronna R Andrews, CRNA
-
Cathy Barker, CRNA
-
Kitty A Barron, CRNA
-
Brian W. Blakewood, CRNA
-
Willliam Bond, CRNA
-
Brandon C. Brown, CRNA
-
David J Butts II, CRNA
-
Laurie A Doolittle, CRNA
-
David James Doucet, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050419001114 | LA | Part B Supplier - Clinic/Group Practice | 6608814843 |
Receives reassigned benefits from 78 practitioners Practice locations: Shreveport, LA |
National Provider Directory
Locations
3010 Knight St
Ste 130
Shreveport, LA 71105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1 Saint Mary PL
Anesthesia Dept
Shreveport, LA 71101-4343
Mailing address
1343 Canton Rd Ste C
Marietta, GA 30066-6079
Phone (318) 300-3643
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C50853 | Other | LA | MCR RAILROAD |
| 1795241 | Medicaid | LA |
Other providers in Shreveport, LA
- Med-Trans Corporation
- Charbel Medawar
- Medco Respiratory Instruments, Inc.
- Medconsultants LLC
- Sam Anthony Medica
- Medical CP
- Medical Deliveries Inc.
- Medical Equipment Solutions, LLC
- Medical Wigs by Kimberly LLC
- Medilyft Transportation LLC
All providers in Shreveport, LA · Anesthesiology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.