| John Caleist Soud, DO | |
|
9300 Mansfield Rd Ste 110, Shreveport, LA 71118-3137 | |
| (318) 629-3763 | |
| (318) 629-3767 |
| Full Name | John Caleist Soud |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 9300 Mansfield Rd Ste 110, 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 |
|---|---|---|---|
| 1427097930 | NPI | - | NPPES |
| 1239488 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS8420 (Florida) | Primary |
| 207P00000X | Emergency Medicine | DO000012 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | E-7954 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Emergency Services Llc | 8628153087 | 326 |
| Acs Primary Care Physicians - Southeast Pc | 5193620714 | 354 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
| Mailing Address | Practice Location Address |
|---|---|
| John Caleist Soud, DO 9300 Mansfield Rd Ste 110, Shreveport, LA 71118-3137 Ph: (318) 629-3763 | John Caleist Soud, DO 9300 Mansfield Rd Ste 110, Shreveport, LA 71118-3137 Ph: (318) 629-3763 |
David James Caltrider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-2326 | |
Dr. Craig Florea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4500 | |
Dr. Lacey Whited, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-6885 Fax: 318-675-6878 | |
Ryan M. Burkholder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103 Phone: 318-626-0434 | |
Roy Brandhurst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Shreveport, LA 71115 Phone: 318-212-3500 Fax: 318-212-3505 | |
Joseph William Yarbrough Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-1034 | |
Brett Horn, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-7261 Fax: 318-675-6878 |