Active NPI
Don B Holton, M.D.
- Diagnostic Radiology Physician
- Shreveport, LA
National Provider Identifier
1811030174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 009971
- Practice address
- 7330 Fern Ave
Suite 402
Shreveport, LA 71105-4971 - Phone
- (318) 221-2535
- Fax
- (318) 227-8636
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 009971 | LA | Primary |
Addresses
Primary practice location
7330 Fern Ave
Suite 402
Shreveport, LA 71105-4971
Mailing address
PO Box 2267
Shreveport, LA 71166-2267
Phone (318) 221-2535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1181200 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009971 | LA | MD | Diagnostic Radiology Physician |
| 9971 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Minden Anesthesiology Associates, LLC | Past | Accepting new patients | |
| Home Physicians Services, LLC | Past | Accepting new patients |
Locations
3100 Samford Ave
Shreveport, LA 71103
Phone (318) 222-5704
Organizations & group practices 6
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.
-
- Children's Hospital
- Shreveport, LA
- NPI 1679617849
-
- Radiology Clinic/Center
- Shreveport, LA
- NPI 1568556256
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1922596170
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1881851582
-
- Certified Registered Nurse Anesthetist
- Minden, LA
- NPI 1346456605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811030174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2267",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711662267",
"telephone_number": "318-221-2535",
"fax_number": "318-227-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 FERN AVE",
"address_2": "SUITE 402",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054971",
"telephone_number": "318-221-2535",
"fax_number": "318-227-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTON",
"first_name": "DON",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "009971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1181200",
"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 Jul 8, 2007; 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.