Active NPI
Sureaccess, MD, LLC
- Internal Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14448R
- Legal business name
- SUREACCESS, MD, LLC
- Practice address
- 725 N Ashley Ridge Loop
#100
Shreveport, LA 71106-7232 - Phone
- (318) 935-6177
- Fax
- (888) 627-6744
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard J. Michael, MD
- Title
- MD
- Phone
- (318) 935-6177
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13626R | LA | |
| Internal Medicine Physician | 207R00000X | 14448R | LA | Primary |
| Pediatrics Physician | 208000000X | 13626R | LA |
Addresses
Primary practice location
725 N Ashley Ridge Loop
#100
Shreveport, LA 71106-7232
Mailing address
725 N Ashley Ridge Loop
#100
Shreveport, LA 71106-7232
Phone (318) 935-6177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
725 N Ashley Ridge Loop
Ste 100
Shreveport, LA 71106
Phone (318) 290-2122
1534 Elizabeth Ave
Ste 401A
Shreveport, LA 71101
Phone (318) 431-8613
1500 Line Ave
Ste 204
Shreveport, LA 71101
Phone (318) 629-5001
8525 Line Ave
Ste A
Shreveport, LA 71106
Phone (318) 300-4926
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1861496671
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1700143237
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1487652970
-
- Physician Assistant
- Shreveport, LA
- NPI 1154349694
-
- Surgery Physician
- Shreveport, LA
- NPI 1033158837
-
- Physician Assistant
- Shreveport, LA
- NPI 1669184610
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1760979231
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1821034679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 N ASHLEY RIDGE LOOP",
"address_2": "#100",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067232",
"telephone_number": "318-935-6177",
"fax_number": "888-627-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 N ASHLEY RIDGE LOOP",
"address_2": "#100",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067232",
"telephone_number": "318-935-6177",
"fax_number": "888-627-6744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUREACCESS, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "MICHAEL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "318-935-6177",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "13626R",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "14448R",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "LA",
"license": "13626R",
"primary": false
}
],
"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 Aug 4, 2015; 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.