Active NPI
Janay McKie, M.D.
- Pediatric Orthopaedic Surgery Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- MD.207313
- Practice address
- 3100 Samford Ave
Shreveport, LA 71103-4239 - Phone
- (318) 226-3306
- Fax
- (318) 226-3319
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | P5290 | TX | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | MD.207313 | LA | Primary |
Addresses
Primary practice location
3100 Samford Ave
Shreveport, LA 71103-4239
Mailing address
PO Box 8500
Lock Box 7642
Philadelphia, PA 19178-7642
Phone (813) 821-8478
Other practice location 1
815 Market St
Galveston, TX 77550-2725
Phone (409) 770-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207313 | LA | MD | Pediatric Orthopaedic Surgery Physician |
| P5290 | TX | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
3100 Samford Ave
Shreveport, LA 71103
Phone (318) 222-5704
815 Market St
Galveston, TX 77550
Phone (409) 770-6600
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Pediatric Surgery Physician
- Galveston, TX
- NPI 1851631709
-
- Children's Hospital
- Shreveport, LA
- NPI 1679617849
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1275271462
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1740448299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500",
"address_2": "LOCK BOX 7642",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191787642",
"telephone_number": "813-821-8478",
"fax_number": "813-281-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SAMFORD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034239",
"telephone_number": "318-226-3306",
"fax_number": "318-226-3319"
}
],
"practiceLocations": [
{
"address_1": "815 Market St",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775502725",
"country_code": "US",
"telephone_number": "409-770-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKIE",
"first_name": "JANAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "TX",
"license": "P5290",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "LA",
"license": "MD.207313",
"primary": true
}
],
"identifiers": [],
"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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.