Deborah K Adcock, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

08006R Issued in LA

Practice address

2533 Bert Kouns Industrial Loop
Suite 104
Shreveport, LA 71118

Phone

(318) 698-8889

Fax

(318) 698-8893

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• J Houston Bosley,M.D. a Medical Corporation

  • Otolaryngology Physician
  • Shreveport, LA
  • NPI 1467574293
  NPD (past)
• Medconsultants LLC

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1538517974
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1720013261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-698-8889",
            "fax_number": "318-698-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-698-8889",
            "fax_number": "318-698-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "08006R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Adams
• Sean Adams, OD
• Tashon Adams II
• Trisha Adams
• Yolanda Nanette Adams, LCSW
• Kristen Adcock
• William Adcock
• Derrick Lamar Addison Sr.
• Innis Addison
• Kasi M. Addison, DO

• Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.