Provider Type Icon

GENESIS NEPHROLOGY LLC NPI 1285881508


NPI Information

NPI: 1285881508
Provider Name: GENESIS NEPHROLOGY, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1560 IRVING PL
SHREVEPORT, LA
ZIP 71101
Phone: (318) 221-2707
Get Directions

GENESIS NEPHROLOGY, LLC is a nephrology internal medicine in Shreveport, LA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. GENESIS NEPHROLOGY, LLC NPI is 1285881508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1560 IRVING PL
SHREVEPORT, LA
ZIP 71101-604
Phone: (318) 221-2707
Fax: (318) 221-2709

The provider's authorized official is Marisa Turner Johnson .
The authorized official title is Physician and has the following contact phone number (318) 221-2707.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 8/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology023908LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H46621MEDICARE UPINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.