North Louisiana Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH LOUISIANA INTERNAL MEDICINE

Practice address

2508 Bert Kouns Industrial Loop
Suite 400
Shreveport, LA 71118-3133

Phone

(318) 673-8320

Fax

(318) 681-7975

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Charles P Wedrner, M.D.

Title

Physician

Phone

(318) 673-8320

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Amanda Lane Lewis, FNP

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1053726752
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1942584123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-673-8320",
            "fax_number": "318-681-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-673-8320",
            "fax_number": "318-681-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LOUISIANA INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "WEDRNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-673-8320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Cain Normand, LPC
• Normandie SCC LLC (The Guest House Rehabilitation Center)
• Mary Norred
• Amanda Norris
• North Caddo Medical Center Community RX
• North Market Chiropractic Clinic
• North West Louisiana Behavioral Services, LLC
• Northeast la Pharmacy (National Pharmacy Services)
• Northern Louisiana Cardiac Services LLC (Advanced Heart and Vascular Center)
• Northwest CMHC, L.L.C.

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.