Alberto Ivo Carbo, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

14984R Issued in LA

Practice address

1501 Kings Hwy
Department of Radiology
Shreveport, LA 71103-4228

Phone

(318) 675-7636

Fax

(318) 675-7531

NPI assigned

Jul 15, 2006

Last updated

May 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1942226436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822",
            "telephone_number": "318-675-7636",
            "fax_number": "318-675-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-7636",
            "fax_number": "318-675-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBO",
        "first_name": "ALBERTO",
        "middle_name": "IVO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "14984R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1155276",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4F214F600",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lindsay Turner Caradonna, PT
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• Jessica Caraway, MD
• Donna Lynn Carden, M.D.
• Cardinal Care LLC (Richard T. Sipes, M.D.)
• Cardiology Associates-a Medical Corporation (Cardiology Associates)
• Cardiovascular Consultants, LLP
• Care Partners of Shreveport-Bossier (Care Partners of Shreveport-Bossier, LLC)

• Diagnostic Radiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.