Susan E. Kemp, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

024797 Issued in LA

Legal business name

SUSAN E. KEMP, MD, LLC

Practice address

1801 Fairfield Ave
Suite #304
Shreveport, LA 71101

Phone

(318) 212-0412

Fax

(318) 212-0416

NPI assigned

Aug 7, 2006

Last updated

Jan 5, 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. Susan E Kemp, MD

Title

MD

Phone

(318) 212-0412

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Casey Harris Payne, PA

  • Physician Assistant
  • Shreveport, LA
  • NPI 1356411565
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1801805957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE.",
            "address_2": "SUITE #304",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-212-0412",
            "fax_number": "318-212-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE #304",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-212-0412",
            "fax_number": "318-212-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E. KEMP, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "318-212-0412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578398",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1807567",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgical Specialists of Shreveport, LLC
• Surgical Specialty Center, LLC
• Surgical Suites at the Wall Center, LLC
• Raja Suri, MD
• Fnu Surkasha, MD
• Susan M Seiler-Smith & Willis-Knighton Medical Center
• Michael Vittorio Susano, M.D.
• Frances Sutton
• Thomas Scott Sutton, CRNA
• SW Sentell LLC

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.