Plastic Surgery of Shreveport, Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIC SURGERY OF SHREVEPORT, INC

Practice address

1666 E Bert Kouns Loop
Ste 145
Shreveport, LA 71105-5714

Phone

(318) 797-9199

Fax

(319) 797-9193

NPI assigned

Aug 20, 2010

Last updated

Aug 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul M Davis, MDNPI 1306838552

Title

President

Phone

(318) 797-9199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Michael Davis, M.D.

  • Specialist
  • Shreveport, LA
  • NPI 1306838552
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1750697314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 EAST BERT KOUNS INS LOOP",
            "address_2": "STE 145",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055718",
            "telephone_number": "318-797-9199",
            "fax_number": "319-797-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 E BERT KOUNS LOOP",
            "address_2": "STE 145",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055714",
            "telephone_number": "318-797-9199",
            "fax_number": "319-797-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY OF SHREVEPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-797-9199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J Pittman, NP-C
• Linda Anderson Pivont, LAC
• Antonio R Pizarro, MD
• Kyle David Planchard, MD
• Norann Y. Planchock, PHD, APRN, BC
• Deshaylia Plater
• Helen Marie Plater, LPN
• Tammy Plater
• Jonathan Clint Platr
• Anniya Platt

• Plastic Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Plastic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.