| Northeast Louisiana Physicians, Llc | |
|
2531 Viking Dr Bossier City LA 71111-2103 | |
| (318) 681-7000 | |
| Not Available |
| Full Name | Northeast Louisiana Physicians, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2531 Viking Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Lisha Falk (VP OF CONTRACTING) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Louisiana Physicians, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Northeast Louisiana Physicians, Llc 2531 Viking Dr Bossier City LA 71111-2103 Ph: (318) 681-7000 |
| NPI Number | 1407637671 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 2365885944 |
|---|---|
| Medicare Enrollment ID | O20240212000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407637671 | NPI | - | NPPES |
| Provider Name | Thomas Steen Trawick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487652970 PECOS PAC ID: 3678527256 Enrollment ID: I20050307000413 |
| Provider Name | Peyman Roohani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285632745 PECOS PAC ID: 8325074172 Enrollment ID: I20050713000041 |
| Provider Name | Amir Habibollah Ausef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528046315 PECOS PAC ID: 3870517758 Enrollment ID: I20060118000605 |
| Provider Name | Stephen R Maxwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700086063 PECOS PAC ID: 6709948904 Enrollment ID: I20081223000159 |
| Provider Name | Olayiwola Abdullateef Salmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457585739 PECOS PAC ID: 7012062029 Enrollment ID: I20090826000943 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20110825000648 |
| Provider Name | Robert Todd Rickman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417168782 PECOS PAC ID: 0042476418 Enrollment ID: I20120730000646 |
| Provider Name | Herman Laroy Toliver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841481041 PECOS PAC ID: 3971756271 Enrollment ID: I20130118000022 |
| Provider Name | Deepthi Panjam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700018298 PECOS PAC ID: 7315195930 Enrollment ID: I20150915000041 |
| Provider Name | Troy William Antill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043585300 PECOS PAC ID: 4385867209 Enrollment ID: I20150916002648 |
| Provider Name | Ramee M Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841674074 PECOS PAC ID: 7315248036 Enrollment ID: I20151222000332 |
| Provider Name | Kwabena O Asafo - Agyei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073998092 PECOS PAC ID: 4688977820 Enrollment ID: I20181001002902 |
| Provider Name | Muhammad Nauman Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316320393 PECOS PAC ID: 4587923305 Enrollment ID: I20181011000952 |
| Provider Name | Kapil Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912177882 PECOS PAC ID: 2961671912 Enrollment ID: I20181015003347 |
| Provider Name | Venkata Vinod Kumar Matli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073998357 PECOS PAC ID: 2365795085 Enrollment ID: I20181026001414 |
| Provider Name | Chad Gibson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619357209 PECOS PAC ID: 7810295193 Enrollment ID: I20190326001471 |
| Provider Name | Murshed Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619533536 PECOS PAC ID: 9032441696 Enrollment ID: I20191031000523 |
| Provider Name | Ayn Jhasferee Morato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356793970 PECOS PAC ID: 0042504904 Enrollment ID: I20191101000506 |
| Provider Name | Angela Potter Dison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972156040 PECOS PAC ID: 0749612885 Enrollment ID: I20191112001182 |
| Provider Name | Ajit M Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861888760 PECOS PAC ID: 8022313360 Enrollment ID: I20191113002183 |
| Provider Name | Anand Bhat |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1992084750 PECOS PAC ID: 2961644075 Enrollment ID: I20200723002147 |
| Provider Name | Sireesha Vutukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477900660 PECOS PAC ID: 5890035729 Enrollment ID: I20200810000183 |
| Provider Name | Amanda Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700401908 PECOS PAC ID: 8820404684 Enrollment ID: I20210303001413 |
| Provider Name | Rajender Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659687788 PECOS PAC ID: 8224270939 Enrollment ID: I20210323002101 |
| Provider Name | Justine Elodia Henao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808645 PECOS PAC ID: 2769458561 Enrollment ID: I20211006000289 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20211028000085 |
| Provider Name | Jennifer Lynn Sunderland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659948651 PECOS PAC ID: 4486046406 Enrollment ID: I20220124002065 |
| Provider Name | Matthew T Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215496690 PECOS PAC ID: 9436583788 Enrollment ID: I20220622000054 |
| Provider Name | Sheriffdeen Olalekan Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184910382 PECOS PAC ID: 6305088766 Enrollment ID: I20221028001351 |
| Provider Name | Doreen Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649293184 PECOS PAC ID: 0840299624 Enrollment ID: I20221104000317 |
| Provider Name | Josef Atta Chemtob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376562132 PECOS PAC ID: 6002813938 Enrollment ID: I20221222000050 |
| Provider Name | Clay Dean Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730801754 PECOS PAC ID: 1153792908 Enrollment ID: I20230113002639 |
| Provider Name | Gerald J Akpassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296975 PECOS PAC ID: 9739113952 Enrollment ID: I20230216000420 |
| Provider Name | Tharun Paruchuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376047886 PECOS PAC ID: 0446582860 Enrollment ID: I20230222001105 |
| Provider Name | Laura M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295238012 PECOS PAC ID: 5991178782 Enrollment ID: I20230224002608 |
| Provider Name | Carter Vincent Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578050407 PECOS PAC ID: 8022415405 Enrollment ID: I20230224002619 |
| Provider Name | Joshua D Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629425913 PECOS PAC ID: 7517251861 Enrollment ID: I20230413000115 |
| Provider Name | Emad Shoukry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053318857 PECOS PAC ID: 1759353337 Enrollment ID: I20230522001844 |
| Provider Name | George Zhongshan Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20230712000003 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20230712001124 |
| Provider Name | Clorinda Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861980724 PECOS PAC ID: 5395095558 Enrollment ID: I20230713001400 |
| Provider Name | Philip Bouchette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750813259 PECOS PAC ID: 5092175679 Enrollment ID: I20230713003132 |
| Provider Name | Anne Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366405060 PECOS PAC ID: 5991708067 Enrollment ID: I20230713003758 |
| Provider Name | Hafiza Wajeeha Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629556915 PECOS PAC ID: 3971901968 Enrollment ID: I20230831001550 |
| Provider Name | Faraaz Nayeemuddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245612142 PECOS PAC ID: 3870805013 Enrollment ID: I20230921001256 |
| Provider Name | Fiyad A Haniff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043770506 PECOS PAC ID: 3779912910 Enrollment ID: I20240129000470 |
| Provider Name | Natalie Moffit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235917642 PECOS PAC ID: 2466895420 Enrollment ID: I20240206004033 |
| Provider Name | Felicia Monique Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669913851 PECOS PAC ID: 9133548001 Enrollment ID: I20240223000968 |
| Provider Name | Aaron Patrick Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013954320 PECOS PAC ID: 2668440918 Enrollment ID: I20240223002993 |
| Provider Name | Talat Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649408220 PECOS PAC ID: 1052568359 Enrollment ID: I20240226001770 |
| Provider Name | Tina Seecharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215299854 PECOS PAC ID: 6800172172 Enrollment ID: I20240229003804 |
| Provider Name | Michael O Falaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912492943 PECOS PAC ID: 5799192878 Enrollment ID: I20240305003287 |
| Provider Name | Abiodun Laoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255754198 PECOS PAC ID: 9335459601 Enrollment ID: I20240314003059 |
| Provider Name | Sergey Kuharevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376960203 PECOS PAC ID: 7012137102 Enrollment ID: I20240318003438 |
| Provider Name | Anna K Plemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295387223 PECOS PAC ID: 6709115025 Enrollment ID: I20240318003687 |
| Provider Name | Olayemi Bolarinwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376006460 PECOS PAC ID: 9638569700 Enrollment ID: I20240319000136 |
| Provider Name | Michele Brengs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798068 PECOS PAC ID: 4486895752 Enrollment ID: I20240423002456 |
| Provider Name | Ashish Rohira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326084716 PECOS PAC ID: 7416953971 Enrollment ID: I20240508000248 |
| Provider Name | Ruchita Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083034771 PECOS PAC ID: 1557683174 Enrollment ID: I20240509003803 |
| Provider Name | Sameer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972725083 PECOS PAC ID: 6406921311 Enrollment ID: I20240514000473 |
| Provider Name | Kerry Mahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871556589 PECOS PAC ID: 3274582085 Enrollment ID: I20240515003115 |
| Provider Name | Erik Rubach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790293678 PECOS PAC ID: 2860746674 Enrollment ID: I20240518000555 |
Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8151 | |
Rapid Care Of Bossier Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd, Suite 400, Bossier City, LA 71111 Phone: 318-584-7301 Fax: 318-741-4496 | |
Charles A Powers Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Willow Chute Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4910 Airline Dr, Bossier City, LA 71111 Phone: 318-349-3921 | |
Abaka Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4438 Viking Dr, Bossier City, LA 71111 Phone: 318-918-0015 Fax: 318-963-0015 | |
Allen Cox Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Injurymd Of Bossier, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd Ste 500, Bossier City, LA 71111 Phone: 318-741-5858 Fax: 318-741-4496 |