Active NPI
Mid City Pediatrics
- Pediatrics Physician
- Shreveport, LA
National Provider Identifier
1902811888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MID CITY PEDIATRICS
- Practice address
- 2225 Line Ave
Shreveport, LA 71104 - Phone
- (318) 221-2225
- Fax
- (318) 459-2955
- NPI assigned
- Jul 29, 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
- Mr. Scott E Ritch, MD
- Title
- Partner
- Phone
- (318) 221-2225
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2225 Line Ave
Shreveport, LA 71104
Mailing address
2225 Line Ave
Shreveport, LA 71104
Phone (318) 221-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1794481 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
2225 Line Ave
Shreveport, LA 71104
Phone (318) 221-2225
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Shreveport, LA
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- Pediatrics Physician
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- Pediatrics Physician
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- NPI 1164580668
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- Pediatrics Physician
- Shreveport, LA
- NPI 1922007129
-
- Pediatrics Physician
- Shreveport, LA
- NPI 1619311438
-
- Pediatrics Physician
- Shreveport, LA
- NPI 1174529630
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- Pediatrics Physician
- Shreveport, LA
- NPI 1578562567
-
- Pediatrics Physician
- Shreveport, LA
- NPI 1689673667
-
- Pediatrics Physician
- Shreveport, LA
- NPI 1174734818
-
- Pediatrics Physician
- Shreveport, LA
- NPI 1942820964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1902811888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 LINE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71104",
"telephone_number": "318-221-2225",
"fax_number": "318-459-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 LINE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71104",
"telephone_number": "318-221-2225",
"fax_number": "318-459-2955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID CITY PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "RITCH",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "318-221-2225",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1794481",
"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 Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.