Shiva Doty, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA200026 Issued in LA

Practice address

1501 Kings Hwy
Emergency Medicine
Shreveport, LA 71103-4228

Phone

(318) 675-7205

Fax

(318) 675-6878

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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.

• Louisiana State University Health Sciences Center

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1417992249

  LA

  Medicare reassignment NPD
• University Health Shreveport LLC

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1619443611

  LA, Physician Assistant

  Medicare reassignment NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  LA

  Medicare reassignment
• Louisiana State University Health Sciences Center Shreveport

  • Multi-Specialty Clinic/Center
  • Shreveport, LA
  • NPI 1790720738
  NPD
• University Health Shreveport LLC

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
  • NPI 1629544622
  NPD
• J Scott Bicknell MD and Willis-Knighton Medical Center

  • Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1548296155
  NPD (past)

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdoty863212@direct.ochsner.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2014.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1912933110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "EMERGENCY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-7205",
            "fax_number": "318-675-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "EMERGENCY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-7205",
            "fax_number": "318-675-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "SHIVA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA200026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151726",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Dosher
• Neville Rohinton Dossabhoy, M.D.
• Emerson Thomas Dotson Jr.
• Jarvis Derome Dotson
• Yolonda Dotson
• David James Doucet, CRNA
• Elliott Denton Doucet, CRNA
• Amri A Douglas
• Arthur Douglas III
• Christie Douglas, PLPC

• All providers in Shreveport, LA
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.