Shreveport Endoscopy Center, a Medical Corporation

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

50 Issued in LA

Legal business name

SHREVEPORT ENDOSCOPY CENTER, A MEDICAL CORPORATION

Practice address

3217 Mabel St
Shreveport, LA 71103-4022

Phone

(318) 631-0072

Fax

(318) 213-4979

NPI assigned

Feb 6, 2006

Last updated

Aug 12, 2022By 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

Dr. Sathya Jaganmohan, M.D.NPI 1922202597

Title

President

Phone

(318) 631-0072

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Shreveport Endoscopy CenterCCN 19C0001042

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Gastrointestinal Specialists, a.M.C.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1932171725

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Gastrointestinal Specialists, a.M.C.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1932171725

  Member Of

  NPD member

Practitioners 14

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.

• Sathya Jaganmohan, M.D.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1922202597
  NPD (past) Authorized official
• Humberto I Aguilar, M.D.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1366432577
  NPD
• Douglas E Rimmer Jr., M.D.

  • Gastroenterology Physician
  • Bossier City, LA
  • NPI 1386634590
  NPD
• John N Bienvenu, MD

  • Gastroenterology Physician
  • Bossier City, LA
  • NPI 1821265281
  NPD (past)
• Daryl Quintin Buckelew, M.D.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1588600662
  NPD (past)
• David F Dies, M.D

  • Transplant Hepatology Physician
  • Shreveport, LA
  • NPI 1205826419
  NPD (past)
• James C Hobley, M.D.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1336114917
  NPD (past)
• Lawrence W Johnson, M.D.

  • Gastroenterology Physician
  • Bossier City, LA
  • NPI 1619968641
  NPD (past)
• John A Kirkikis, MD

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1700869724
  NPD (past)
• Nicolas T Labarre, MD

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1881007540
  NPD (past)
• Catherine D. Linzay, MD

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1619364247
  NPD (past)
• David M Philips, M.D.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1326038530
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1982676771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 MABEL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034022",
            "telephone_number": "318-631-0072",
            "fax_number": "318-213-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 MABEL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034022",
            "telephone_number": "318-631-0072",
            "fax_number": "318-213-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREVEPORT ENDOSCOPY CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "JAGANMOHAN",
        "authorized_official_first_name": "SATHYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-631-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "LA",
            "license": "50",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreveport Chiropractic
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• Shreveport Doctors' Hospital
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• Shreveport Eye Clinic a Medical Corp
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• Shreveport Geriatrics
• Shreveport Geriatrics

• Endoscopy Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Endoscopy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.