| Philip Andrew Utter, MD | |
|
1500 Line Avenue, Ste 200, Shreveport, LA 71101 | |
| (318) 629-5555 | |
| (318) 629-5556 |
| Full Name | Philip Andrew Utter |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 25 Years |
| Location | 1500 Line Avenue, Shreveport, Louisiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073585477 | NPI | - | NPPES |
| 200821100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 44123 (Minnesota) | Primary |
| 207T00000X | Neurological Surgery | 91820 (Ohio) | Secondary |
| 207T00000X | Neurological Surgery | 202784 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Specialists Hospital Shreveport | Shreveport, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Therapy And Balance Center Llc | 0345397899 | 75 |
| Physical Therapy Services Of West Louisiana Inc | 0446388763 | 69 |
| Spine Institute Of Louisiana Llc | 3375719446 | 16 |
| Entity Name | Spine Institute Of Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629369210 PECOS PAC ID: 3375719446 Enrollment ID: O20111221000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Andrew Utter, MD 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Ph: (318) 629-5555 | Philip Andrew Utter, MD 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Ph: (318) 629-5555 |
Keisha Roichelle Bonyfield, APRN Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-795-2638 | |
Anthony Hunkyun Sin, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000 | |
Jorge Martinez-leyva, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 8001 Youree Dr, Suite 850, Shreveport, LA 71115 Phone: 318-424-2623 Fax: 318-227-1357 | |
Hugo Humberto Cuellar - Saenz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Peter Gravel Campbell, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Ave Ste 200, Shreveport, LA 71101 Phone: 318-629-5555 Fax: 318-629-5556 | |
Bharat Guthikonda, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Neurosurgery, Shreveport, LA 71103 Phone: 318-813-1555 Fax: 318-813-2491 |