Dr. Deanna Elise Mossallati
Internal Medicine

Address: 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103
Phone: 3186212929

Dr. Deanna Elise Mossallati (NPI# 1699017681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1699017681
Entity Type Individual
Full Name Dr. Deanna Elise Mossallati
Credential D.O
Gender Female
Practice Address 8551 Greenwood Rd
Suite 410
Shreveport
LA 71103
Practice Telephone 3186212929
Mailing Address 8551 Greenwood Rd
Suite 410
Shreveport
LA 71103
Mailing Telephone 3186212929
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-03-18
Last Update Date 2016-09-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 303623 LA

Physician Overview

NPI 1699017681
PAC ID by PECOS 1355639097
Professional Enrollment ID I20161012000281
Full Name Deanna E Mossallati
Organization Legal Name WK NORTH HOSPITALISTS GROUP
Phone Number 3186212929
Gender F
Medical School WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 2013
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 4486973872
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190111 WILLIS KNIGHTON MEDICAL CENTER
190125 ST FRANCIS MEDICAL CENTER

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952907578 Paul S Wilson Md LLC Internal Medicine 595 Unadilla St, Shreveport, LA 71106-1239 2020-12-09
1790315026 Cody Tingle Md LLC Internal Medicine 535 Pierremont Rd, Shreveport, LA 71106-2207 2020-01-26
1538654306 Masri Group LLC Internal Medicine 3801 Creswell Ave Unit 19, Shreveport, LA 71106-1257 2018-06-25
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1760923064 Martin Marak Internal Medicine 847 Prospect St, Shreveport, LA 71104-3025 2017-03-20
1265883482 Vari LLC Internal Medicine 506 Rock Hollow Dr, Shreveport, LA 71115-2502 2016-06-29
1598140121 Mihir V Patel Md LLC Internal Medicine 9930 Loveland Ct, Shreveport, LA 71106-7795 2015-07-24
1619357209 Chad Michael Gibson Internal Medicine 8001 Youree Dr Ste 4007, Shreveport, LA 71115-2302 2015-06-09
1265829394 Amanda Lynn Callegan-poche' Internal Medicine 1023 Provenance Pl Ste 130, Shreveport, LA 71106-7796 2015-04-15
1477807980 Ronald Baylis George Internal Medicine 1821 Willow Point Drive, Shreveport, LA 71119 2012-11-06
Find all providers in SHREVEPORT

Office Location

Street Address 8551 GREENWOOD RD
SUITE 410
City SHREVEPORT
State LA
Zip Code 71103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
1558571893 Sarah Elizabeth Wheat Pediatrics 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 2007-05-23
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Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.