| David A Kaufman, MD | |
|
463 Ashley Ridge Blvd, Ste 100, Shreveport, LA 71106-7231 | |
| (318) 221-3584 | |
| (318) 227-9094 |
| Full Name | David A Kaufman |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 25 Years |
| Location | 463 Ashley Ridge Blvd, Shreveport, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164482725 | NPI | - | NPPES |
| 272630100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | MD14915 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | MD14915 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Lsu Health Shreveport | Shreveport, LA | Hospital |
| Ochsner Lsu Health Shreveport-st Mary Medical Cent | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | 4082902721 | 512 |
| 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 |
|---|---|
| David A Kaufman, MD 1541 Kings Hwy, Attn: Payor Credentialing, Shreveport, LA 71103-4228 Ph: (318) 626-0287 | David A Kaufman, MD 463 Ashley Ridge Blvd, Ste 100, Shreveport, LA 71106-7231 Ph: (318) 221-3584 |
Ioannis A. Moissidis, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 850 Olive St, Suite B, Shreveport, LA 71104 Phone: 318-221-3584 Fax: 318-227-9094 | |
Priyal Upadhyay, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2530 Bert Kouns Industrial Loop Ste 115, Shreveport, LA 71118 Phone: 318-212-4824 Fax: 318-212-5994 | |
Dr. Lori R Johnson, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4573 Fax: 318-798-4651 | |
Dr. Steven C Whited, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 955 Oneonta St, Shreveport, LA 71106 Phone: 318-423-5260 | |
Gonzalo Alvarez Del Real, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Industrial Loop # 108, Shreveport, LA 71105 Phone: 318-798-4544 Fax: 318-798-4557 | |
Dr. Caroline Virginia Caperton, M.D., M.S.P.H. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71118 Phone: 318-212-4824 |