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DR. MARIO H LOBAO GONCALVES MD NPI 1063922573


NPI Information

NPI: 1063922573
Provider Name: DR. MARIO H LOBAO GONCALVES, MD
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Individual

Specialization: Sports Medicine

Organization: LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE

PECOS Registration: Yes

Address:
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
Phone: (443) 850-8427
Get Directions

DR. Mario H Lobao Goncalves, MD is a sports medicine orthopaedic surgery in Shreveport, LA with 20 years of experience. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. DR. Mario H Lobao Goncalves, MD NPI is 1063922573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103-228
Phone: (443) 850-8427
Fax: (318) 675-6181

The NPI 1063922573 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 7/23/2021.


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
1207X00000XOrthopaedic Surgery328121LOUISIANANo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery328121LOUISIANANo
3207XX0005XOrthopaedic SurgerySports Medicine328121LOUISIANAYes
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 11/14/2023

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.