| Charles D Knight Jr, MD | |
|
2064 Silver Point Dr, Shreveport, LA 71106-7753 | |
| (318) 422-1274 | |
| Not Available |
| Full Name | Charles D Knight Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 2064 Silver Point Dr, 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 |
|---|---|---|---|
| 1912901794 | NPI | - | NPPES |
| 1053315846 | Other | LA | GROUP NPI NUMBER |
| 153013101 | Other | TX | TEXAS MEDICAID NUMBER |
| 020021594 | Other | LA | RAILROAD MEDICARE NUMBER |
| 1376426 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 06896R (Louisiana) | Primary |
| Entity Name | Highland Clinic, A Prof Med Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Knight Jr, MD 2064 Silver Point Dr, Shreveport, LA 71106-7753 Ph: (318) 422-1274 | Charles D Knight Jr, MD 2064 Silver Point Dr, Shreveport, LA 71106-7753 Ph: (318) 422-1274 |
James R Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105 Phone: 318-798-4433 Fax: 318-798-4432 | |
Mary T Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6154 | |
Dr. Paul E Perkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Dr. James Booth Burke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1202 Louisiana Avenue, Shreveport, LA 71101 Phone: 318-212-8780 Fax: 318-212-6752 | |
Jennifer Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Surgery, Shreveport, LA 71103 Phone: 318-675-2655 | |
Dr. Terry Lairmore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Mark H Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103 Phone: 318-212-4799 Fax: 318-424-3642 |