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NORTHWEST SURGICAL SPECIALISTS INC. NPI 1457531089


NPI Information

NPI: 1457531089
Provider Name: NORTHWEST SURGICAL SPECIALISTS INC.
Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

Address:
1801 FAIRFIELD AVE
SUITE 408
SHREVEPORT, LA
ZIP 71101
Phone: (318) 675-1322
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NORTHWEST SURGICAL SPECIALISTS INC. is a surgical critical care surgery in Shreveport, LA. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NORTHWEST SURGICAL SPECIALISTS INC. NPI is 1457531089. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 FAIRFIELD AVE
SUITE 408
SHREVEPORT, LA
ZIP 71101-468
Phone: (318) 675-1322
Fax: (318) 675-1332

The provider's authorized official is Michelle Antoinette Pittman .
The authorized official title is Owner and has the following contact phone number (318) 675-1322.

The enumeration date for this NPI number is 11/12/2007 and was last updated on 1/9/2012.


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
12086S0102XSurgerySurgical Critical Care201400LOUISIANAYes

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
11041611MEDICAIDLOUISIANA
25DB46MEDICARE PINLOUISIANA

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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