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LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER NPI 1104860121


NPI Information

NPI: 1104860121
Provider Name: LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

Doing Business As: LSUHSC-S DEPARTMENT OF SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1501 KINGS HWY
LSUHSC-S DEPARTMENT OF SURGERY
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-7737
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LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER is a surgery in Shreveport, LA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER NPI is 1104860121. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lsuhsc-s Department Of Surgery.

The provider's business location address is:

1501 KINGS HWY
LSUHSC-S DEPARTMENT OF SURGERY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-7737
Fax: (318) 675-5666

The provider's authorized official is Melanie Hardegree Sotak .
The authorized official title is Director Of Managed Care and has the following contact phone number (318) 675-7737.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 12/27/2007.


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
12084N0400XPsychiatry & NeurologyNeurology142LOUISIANANo
2208600000XSurgery142LOUISIANAYes

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
11798771MEDICAIDLOUISIANA
25F610MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA

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

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