| Gastrointestinal Specialists, A.m.c. | |
|
3217 Mabel St Shreveport LA 71103-4022 | |
| (318) 631-9121 | |
| (318) 631-9126 |
| Full Name | Gastrointestinal Specialists, A.m.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3217 Mabel St, Shreveport, Louisiana |
| Authorized Official Name and Position | David M. Philips (PRESIDENT) |
| Authorized Official Contact | 3186319121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Specialists, A.m.c. 3217 Mabel St Shreveport LA 71103-4022 Ph: (318) 631-9121 | Gastrointestinal Specialists, A.m.c. 3217 Mabel St Shreveport LA 71103-4022 Ph: (318) 631-9121 |
| NPI Number | 1932171725 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 08/11/2022 |
| Medicare PECOS PAC ID | 0547245086 |
|---|---|
| Medicare Enrollment ID | O20040621000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932171725 | NPI | - | NPPES |
| 1985821 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Warren John Green |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174546386 PECOS PAC ID: 7911893821 Enrollment ID: I20041029000004 |
| Provider Name | Steven W Pate |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942223185 PECOS PAC ID: 1557323839 Enrollment ID: I20041029000008 |
| Provider Name | Thomas R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669578779 PECOS PAC ID: 2264495662 Enrollment ID: I20041108000003 |
| Provider Name | Winde R Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407952534 PECOS PAC ID: 6204854839 Enrollment ID: I20051102000851 |
| Provider Name | James C Hobley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336114917 PECOS PAC ID: 7113939240 Enrollment ID: I20060608000006 |
| Provider Name | Heather A Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093825382 PECOS PAC ID: 4789681305 Enrollment ID: I20061024000526 |
| Provider Name | Douglas Matthew Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942498613 PECOS PAC ID: 3870674914 Enrollment ID: I20080115000623 |
| Provider Name | Brenton W Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528094455 PECOS PAC ID: 1254417132 Enrollment ID: I20080319000043 |
| Provider Name | Mary K Hire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265629935 PECOS PAC ID: 1557427440 Enrollment ID: I20090228000047 |
| Provider Name | William M Wilder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730120312 PECOS PAC ID: 6406872134 Enrollment ID: I20090520000335 |
| Provider Name | Marcus V Stelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225206212 PECOS PAC ID: 1759412554 Enrollment ID: I20100623000074 |
| Provider Name | Chad T Porter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669652665 PECOS PAC ID: 0547391229 Enrollment ID: I20100624000002 |
| Provider Name | Sathya Jaganmohan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922202597 PECOS PAC ID: 6406901420 Enrollment ID: I20100720000453 |
| Provider Name | Arthur L Poch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831187301 PECOS PAC ID: 5294747044 Enrollment ID: I20100825000260 |
| Provider Name | Lawrence W Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619968641 PECOS PAC ID: 1658383401 Enrollment ID: I20100826001269 |
| Provider Name | David Miller Philips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326038530 PECOS PAC ID: 6103838958 Enrollment ID: I20100826001272 |
| Provider Name | Douglas Edward Rimmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386634590 PECOS PAC ID: 9830101682 Enrollment ID: I20100831000899 |
| Provider Name | John Mark Provenza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225028434 PECOS PAC ID: 7810972353 Enrollment ID: I20100831000906 |
| Provider Name | Humberto Isidro Aguilar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366432577 PECOS PAC ID: 2567474315 Enrollment ID: I20100903000071 |
| Provider Name | David Frank Dies |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205826419 PECOS PAC ID: 8921010778 Enrollment ID: I20100903000324 |
| Provider Name | John A Kirkikis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700869724 PECOS PAC ID: 0840218004 Enrollment ID: I20101108000976 |
| Provider Name | John Nelken Bienvenu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821265281 PECOS PAC ID: 0840478541 Enrollment ID: I20110628000803 |
| Provider Name | Christopher K White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295016848 PECOS PAC ID: 7214109768 Enrollment ID: I20111006000056 |
| Provider Name | Jeremy Payne Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386997351 PECOS PAC ID: 3274783170 Enrollment ID: I20121031000427 |
| Provider Name | Kristi G Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740544352 PECOS PAC ID: 7618122847 Enrollment ID: I20130219000362 |
| Provider Name | Brett R Travis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700082682 PECOS PAC ID: 5698917086 Enrollment ID: I20130814000856 |
| Provider Name | Ralph L Abraham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639346174 PECOS PAC ID: 2365686391 Enrollment ID: I20130913000109 |
| Provider Name | Morgan Cheatham Haile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760655500 PECOS PAC ID: 6901060292 Enrollment ID: I20140127001269 |
| Provider Name | Justin Hung Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20141022000483 |
| Provider Name | Matthew K Dang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588848857 PECOS PAC ID: 7517131147 Enrollment ID: I20150130000807 |
| Provider Name | Amy Alisha Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194133421 PECOS PAC ID: 9739404336 Enrollment ID: I20150202000931 |
| Provider Name | Jessica D Caraway |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710120274 PECOS PAC ID: 6103130463 Enrollment ID: I20150730011487 |
| Provider Name | Lowery R Reiland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487884730 PECOS PAC ID: 1951525484 Enrollment ID: I20151105001497 |
| Provider Name | Jacob Elidge Enterkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306043096 PECOS PAC ID: 2769626530 Enrollment ID: I20180123003151 |
| Provider Name | Vikram Mysore Hatti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447202460 PECOS PAC ID: 3476554783 Enrollment ID: I20191007003390 |
| Provider Name | Michael Herron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700867207 PECOS PAC ID: 1052362001 Enrollment ID: I20200918000383 |
| Provider Name | Catherine Downs Linzay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619364247 PECOS PAC ID: 5193023588 Enrollment ID: I20210526000621 |
| Provider Name | Nicolas Timothy Labarre |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881007540 PECOS PAC ID: 6507088457 Enrollment ID: I20210609001757 |
| Provider Name | Hunter Thomas Christy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699162206 PECOS PAC ID: 5698073211 Enrollment ID: I20210616002306 |
| Provider Name | Brandy Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164049359 PECOS PAC ID: 6800290198 Enrollment ID: I20210809002785 |
| Provider Name | Shironda Renee Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306510805 PECOS PAC ID: 6800291337 Enrollment ID: I20210823000982 |
| Provider Name | Amanda Beshea Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598331464 PECOS PAC ID: 2860897253 Enrollment ID: I20210824000466 |
| Provider Name | Stephen Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730525841 PECOS PAC ID: 0042574048 Enrollment ID: I20220307000090 |
| Provider Name | Michael Rolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20220819001219 |
| Provider Name | Sameh Sakla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518250307 PECOS PAC ID: 5294080230 Enrollment ID: I20220824003695 |
| Provider Name | Ashley E Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265152326 PECOS PAC ID: 4183009830 Enrollment ID: I20220915002110 |
| Provider Name | Nicholas Kramer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780118026 PECOS PAC ID: 1850767542 Enrollment ID: I20221020002678 |
| Provider Name | Caleb Ruben Rivera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164410916 PECOS PAC ID: 5496791857 Enrollment ID: I20240308002322 |
| Provider Name | Rolando Ernesto Prieto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578551321 PECOS PAC ID: 7416993860 Enrollment ID: I20240312001116 |
| Provider Name | Daryl Q Buckelew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588600662 PECOS PAC ID: 0648260489 Enrollment ID: I20240411003132 |
| Provider Name | Ryan Keith Tompkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619064623 PECOS PAC ID: 1052493152 Enrollment ID: I20240416002479 |
| Provider Name | Ronald Winters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437593779 PECOS PAC ID: 8123382397 Enrollment ID: I20240503001227 |
| Provider Name | Matthew Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275869729 PECOS PAC ID: 6103148127 Enrollment ID: I20240513000864 |
| Provider Name | Thomas Iii Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265096390 PECOS PAC ID: 9537490883 Enrollment ID: I20240521001258 |
| Provider Name | Kylee B Poudrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629823794 PECOS PAC ID: 7719422187 Enrollment ID: I20240709004792 |
| Provider Name | Jennifer Benjamin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255473310 PECOS PAC ID: 6305831264 Enrollment ID: I20241113004288 |
| Provider Name | Claudia R Wardell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972325744 PECOS PAC ID: 6305375536 Enrollment ID: I20250131003567 |
| Provider Name | Sarah Flanagan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760988067 PECOS PAC ID: 0749524353 Enrollment ID: I20250205003043 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
J J Burgin Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 Lochinvar Ln, Shreveport, LA 71106 Phone: 562-569-1601 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 |