Magdouche Medical LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD.204550 Issued in LA

Legal business name

MAGDOUCHE MEDICAL LLC

Practice address

2739 Stone Creek Dr
Shreveport, LA 71106-8432

Phone

(318) 797-1743

Fax

(318) 797-7599

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Jihad M El Hayek, M.D.NPI 1538354451

Title

Authorized Official

Phone

(214) 405-2313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jihad Michel El-Hayek, M.D.

  • Infectious Disease Physician
  • Shreveport, LA
  • NPI 1538354451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1942632633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 STONE CREEK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068432",
            "telephone_number": "318-797-1743",
            "fax_number": "318-797-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 STONE CREEK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068432",
            "telephone_number": "318-797-1743",
            "fax_number": "318-797-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDOUCHE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "EL HAYEK",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-405-2313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "MD.204550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitley Madison, PT, DPT
• Dhuha Khalaf Maen
• Ashley Barnes Maeshack
• Kenya Shantell Maeshack
• Pouya Mafi, M.D.
• Emily Gaudin Magee, MD
• John W. Magee Jr., PHD
• Tammy Magee
• Tara Decker Magee, M.C.D., CCC-A
• Jason L Maggio, D.C.

• Infectious Disease Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Infectious Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.