Active NPI
Peter N Vlahakis, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN042529 APO1669
- Practice address
- 2600 Greenwood Rd
Shreveport, LA 71103-3908 - Phone
- (318) 212-4000
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN042529 APO1669 | LA | Primary |
Addresses
Primary practice location
2600 Greenwood Rd
Shreveport, LA 71103-3908
Mailing address
643 Monrovia St
Shreveport, LA 71106-1611
Phone (318) 868-4709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1900192 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0000
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000
Hospital & facility affiliations
- Christus Good Shepherd Medical Center
- Ochsner Lsu Health Shreveport-St Mary Medical Cent
- Ochsner Lsu Health Shreveport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN042529 APO1669 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| Medical Center Anesthesiologists | Current | Accepting new patients | |
| University Health Shreveport LLC | Current | Accepting new patients | |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Christus Good Shepherd Medical Center | Current | Accepting new patients | |
| University Health Shreveport LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Good Shepherd Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients | |
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
255 Bert Kouns Loop
Shreveport, LA 71106
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
911 Margaret Pl
Shreveport, LA 71101
Phone (318) 626-4200
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Organizations & group practices 11
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.
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1619443611
-
- Anesthesiology Physician
- Marshall, TX
- NPI 1760908404
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1669469748
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1629544622
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Women's Hospital
- Shreveport, LA
- NPI 1285253252
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1730158163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 MONROVIA ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711061611",
"telephone_number": "318-868-4709"
},
{
"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": "VLAHAKIS",
"first_name": "PETER",
"middle_name": "N",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN042529 APO1669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1900192",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.