NPIMap

Individual provider Active NPI

William Sydney Whyte II, M.D.

  • Interventional Pain Medicine Physician
  • Shreveport, LA
National Provider Identifier
1821060476
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
14038R Issued in LA
Practice address
457 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone
(318) 221-7246
Fax
(318) 861-1325
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 14038R LA
Interventional Pain Medicine Physician 208VP0014X 14038R LA Primary

Addresses

Primary practice location

457 Ashley Ridge Blvd
Shreveport, LA 71106-7229

Mailing address

457 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone (318) 221-7246

Other identifiers 3

IdentifierTypeStateIssuer
250013028OtherLARAILROAD MEDICARE
7891234OtherLAAETNA
1495964MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000056 LA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 1759289713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in Shreveport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

2 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 861-7246

457 Ashley Ridge Blvd
Shreveport, LA 71106-7229

457 Ashley Ridge Blvd
Shreveport, LA 71106-7250
Phone (318) 861-7246

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Hospital Association Interventional Pain Medicine CurrentSince Jan 16, 2025 Accepting new patients
Desoto Hospital Association CurrentSince Jan 16, 2025 Accepting new patients
Louisiana Pain Physicians, LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2003 Accepting new patients
Desoto Hospital Association Current Accepting new patients
Louisiana Pain Physicians, LLC Pain Medicine Past Accepting new patients

Locations

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

457 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 861-1260

Interoperability endpoints

  • Direct secure messaging: william.whyte.1@16952.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16952/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1821060476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-221-7246",
            "fax_number": "318-861-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-221-7246",
            "fax_number": "318-861-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "WILLIAM",
        "middle_name": "SYDNEY",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "14038R",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "14038R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250013028",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7891234",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495964",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.