| Andrew W Larson, MD | |
|
1 Saint Mary Pl, Shreveport, LA 71101-4343 | |
| (337) 781-9522 | |
| Not Available |
| Full Name | Andrew W Larson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1 Saint Mary Pl, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386810430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD.205360 (Louisiana) | Primary |
| Entity Name | Medical Center Anesthesiologists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669469748 PECOS PAC ID: 6608814843 Enrollment ID: O20050419001114 |
| Entity Name | Osc Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063862340 PECOS PAC ID: 1355637810 Enrollment ID: O20160908002453 |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew W Larson, MD 1 Saint Mary Pl, Shreveport, LA 71101-4343 Ph: (337) 781-9522 | Andrew W Larson, MD 1 Saint Mary Pl, Shreveport, LA 71101-4343 Ph: (337) 781-9522 |
Aya Mouhaffel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. James Williams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-681-4440 | |
Maurice Hawley, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 972-664-6963 Fax: 770-237-4731 | |
Hiram Vazquez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3217 Mabel St, Shreveport, LA 71103 Phone: 318-631-9121 Fax: 318-631-9126 | |
Azem Chami, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Cleveland S Waterman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5581 | |
Dr. Akmal A Mikhail I, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 |