Active NPI
Cheryl Eaton Duncan, P.A.
- Physician Assistant
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- A10385
- Practice address
- 1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800 - Phone
- (318) 681-4138
- Fax
- (318) 681-4596
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | A10385 | LA | Primary |
Addresses
Primary practice location
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Mailing address
919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711
Other practice location 1
1501 Kings Hwy
Department of Medicine
Shreveport, LA 71103-4228
Phone (318) 813-2528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626341 | Medicaid | LA | |
| 5F600PB15 | Other | LA | MEDICARE - PTAN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10385 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Physician Assistant | Current | Accepting new patients |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Louisiana State University Health Sciences Center Shreveport | Current | Accepting new patients |
Locations
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
919 Hidden Rdg
Irving, TX 75038
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- cduncan239768@christushealth.direct-ci.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
LA, Physician Assistant
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1417992249
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Multi-Specialty Clinic/Center
- Shreveport, LA
- NPI 1790720738
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1891712774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 HIDDEN RDG",
"city": "IRVING",
"state": "TX",
"postal_code": "750383813",
"telephone_number": "469-282-2711",
"fax_number": "469-282-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 E BERT KOUNS INDUSTRIAL LOOP",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711056800",
"telephone_number": "318-681-4138",
"fax_number": "318-681-4596"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_2": "Department of Medicine",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-813-2528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "CHERYL",
"middle_name": "EATON",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "A10385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1626341",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PTAN",
"identifier": "5F600PB15",
"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 Oct 13, 2017; 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.
- 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.