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THOMAS A REILLY MD APMC NPI 1558580357


NPI Information

NPI: 1558580357
Provider Name: THOMAS A REILLY MD APMC

Doing Business As: SHREVEPORT GERIATRICS

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
850 MARGARET PL
SHREVEPORT, LA
ZIP 71101
Phone: (318) 222-8187
Get Directions

THOMAS A REILLY MD APMC is a geriatric medicine internal medicine in Shreveport, LA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. THOMAS A REILLY MD APMC NPI is 1558580357. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shreveport Geriatrics.

The provider's business location address is:

850 MARGARET PL
SHREVEPORT, LA
ZIP 71101-521
Phone: (318) 222-8187
Fax: (318) 424-2637

The provider's authorized official is Thomas A Reilly .
The authorized official title is Owner and has the following contact phone number (318) 222-8187.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 4/29/2008.


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
1207RG0300XInternal MedicineGeriatric MedicineYes

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
11948799MEDICAIDLOUISIANA
25C376MEDICARE ID-TYPE UNSPECIFIED

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

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