Active NPI
Minimally Invasive Surgery Center of Louisiana
- Surgery Physician
- Shreveport, LA
National Provider Identifier
1962500850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 14607R
- Legal business name
- MINIMALLY INVASIVE SURGERY CENTER OF LOUISIANA
- Practice address
- 1534 Elizabeth Ave Ste 400
Shreveport, LA 71101-4531 - Phone
- (318) 227-2121
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Robert Barnes, M.D.
- Title
- President
- Phone
- (318) 227-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 14607R | LA | Primary |
Addresses
Primary practice location
1534 Elizabeth Ave Ste 400
Shreveport, LA 71101-4531
Mailing address
PO Box 1445
Shreveport, LA 71164-1445
Phone (318) 227-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437263 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1534 Elizabeth Ave
Ste 400
Shreveport, LA 71101
Phone (318) 222-1942
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Shreveport, LA
- NPI 1184663171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962500850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1445",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711641445",
"telephone_number": "318-227-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 ELIZABETH AVE STE 400",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014531",
"telephone_number": "318-227-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINIMALLY INVASIVE SURGERY CENTER OF LOUISIANA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-227-2121",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "LA",
"license": "14607R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437263",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.