South Shreveport Anesthesia

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SOUTH SHREVEPORT ANESTHESIA

Practice address

1945 E 70TH St
Suite B
Shreveport, LA 71105-5347

Phone

(318) 797-1743

NPI assigned

May 22, 2006

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Wheeler, MDNPI 1326027467

Title

Partner

Phone

(318) 797-1743

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

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.

• Alpesh I Patel, M.D.

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1598967275
  Medicare reassignment Care Compare group NPD
• Hiram Vazquez, M.D.

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1063491108
  Medicare reassignment Care Compare group NPD
• Dana S Wheeler, M.D.

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1326027467
  Medicare reassignment NPD Authorized official
• Manjit K Wadhwa, MD

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1295744670
  Medicare reassignment NPD
• Olga A Willett, MD

  • Pediatric Anesthesiology Physician
  • Louisville, KY
  • NPI 1881911881

  LA

  Medicare reassignment NPD

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1952355810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52448",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352448",
            "telephone_number": "318-797-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 E 70TH ST",
            "address_2": "SUITE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055347",
            "telephone_number": "318-797-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHREVEPORT ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "318-797-1743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CI7153",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949337",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Sorrells, PHARM.D.
• Carolina Soto-Davila
• Kenya Leigh Soto, CCC SLP
• John Caleist Soud, DO
• South Shreve Medical Supplies, Inc.
• South Shreveport Family Medicine, LLC
• South Shreveport Internal Medicine
• Southern Hills LLC (Southern Hills Healthcare & Rehabilitation)
• Southern Kidney Associates PLLC
• Southern Oaks Nursing & Rehabilitation Center, LLC (Southern Oaks Nursing & Rehabilitation Center)

• Anesthesiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.