Ark-la-Tex Spine Apmc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD020437 Issued in LA

Legal business name

ARK-LA-TEX SPINE APMC

Practice address

8660 Fern Ave
Suite 120
Shreveport, LA 71105-5649

Phone

(903) 487-2248

Fax

(903) 487-2306

NPI assigned

May 21, 2013

Last updated

May 12, 2016By 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

Jefferey Adair, MDNPI 1780665828

Title

Owner

Phone

(903) 487-2248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBECCA

Practitioners 4

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.

• Jefferey D Adair, MD

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1780665828
  Medicare reassignment Care Compare group NPD Authorized official
• Jon C Barnes, FNP

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1689678534
  Medicare reassignment Care Compare group NPD
• Jeannie Shim McAllister, PA-C

  • Medical Physician Assistant
  • Shreveport, LA
  • NPI 1831172931
  Medicare reassignment
• Julie Witt Crafton, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1740333756
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1851737506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "903-487-2248",
            "fax_number": "903-487-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 FERN AVE",
            "address_2": "SUITE 120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055649",
            "telephone_number": "903-487-2248",
            "fax_number": "903-487-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK-LA-TEX SPINE APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "JEFFEREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-487-2248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "MD020437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ark-la-Tex Fertility & Reproductive Medicine
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• Ark-la-Tex Medical Services, Inc.
• Ark-la-Tex Mental Health, LLC
• Ark-la-Tex Sound Minds, LLC
• Ark-la-Tex, LLC
• Arklatex ABA, LLC
• Arklatex Fertility and Reproductive Medicine
• Arklatex Medcare LLC
• Arklatex Medical Consultants a Medical Corporation (River Cities Interventional Pain Specialists)

• Interventional Pain Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Interventional Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.