JOHN PRUITT
NPI 1245974310
Student in an Organized Health Care Education/Training Program in Shreveport, LA

NPI Status: Active since April 25, 2022

Contact Information

1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
Phone: (318) 626-0434

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About JOHN PRUITT

This page provides the complete NPI Profile along with additional information for John Pruitt, a primary care provider established in Shreveport, Louisiana with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1245974310 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1245974310
Provider Name
JOHN PRUITT
Gender
Male
Entity Type
Individual
Location Address
1501 KINGS HWY SHREVEPORT, LA 71103
Location Phone
(318) 626-0434
Mailing Address
1501 KINGS HWY SHREVEPORT, LA 71103
Is Sole Proprietor?
Yes
Enumeration Date
04-25-2022
Last Update Date
04-25-2022
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A primary care provider (PCP) like John Pruitt sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

John Pruitt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245974310
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285187832
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 8 + 7 + 8 + 3 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245974310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KIMBERLY E MEYER PA-C

Physician Assistant

1501 KINGS HWY
DEPT. OF NEUROSURGERY
SHREVEPORT, LA
ZIP 71103

(318) 813-2921

MARY T KIM M.D.

Surgery

(Plastic and Reconstructive Surgery)

1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103

(318) 675-6154

DR. EZEKIEL J WETZEL M.D.

Anesthesiology

1501 KINGS HWY
DEPARTMENT OF ANESTHESIA
SHREVEPORT, LA
ZIP 71103

(318) 675-5298

MR. AARON DEAN CHAUVIN PAC

Physician Assistant

1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103

(318) 675-6885

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

Surgery

1501 KINGS HWY
LSUHSC-S DEPARTMENT OF SURGERY
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

PHILIP DONALD ISHERWOOD M.D.

Family Medicine

1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103

(318) 675-5185

DR. WENDALL A WILSON M.D.

Internal Medicine

1501 KINGS HWY
DEPARTMENT OF INTERNAL MEDICINE, RHEUMATOLOGY SECTION
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

MS. NANCY K BUSHNELL-HARPER MA, LPC

Counselor

1501 KINGS HWY
LSUHSC-S DEPARMTENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

MICHAEL LORING MADDEN M.D.

Family Medicine

1501 KINGS HWY
DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA
ZIP 71103

(318) 441-1061

LARRY JOHATHAN EMBREE JR. M.D.

Psychiatry & Neurology

(Neurology)

1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

ALIREZA MINAGAR M.D.

Psychiatry & Neurology

(Neurology)

1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

ROSARIO MARIA RIEL-ROMERO M.D.

Psychiatry & Neurology

(Neurology with Special Qualifications in Child Neurology)

1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103

(318) 813-2482

DR. LAUREN MOONAN YOREK M.D.

Emergency Medicine

1501 KINGS HWY
DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA
ZIP 71103

(318) 675-7757

FREDERICK DEAN HEARD M.D.

Family Medicine

1501 KINGS HWY
DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA
ZIP 71103

(318) 675-8032

EDWARD HOPKINS LEATHERMAN M.D.

Psychiatry & Neurology

(Psychiatry)

1501 KINGS HWY
DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

GRACE C TENORIO M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

DEEPTI SHUKLA MBBS

Pathology

(Anatomic Pathology)

1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

PATRICK A ADEGBOYEGA M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

RONALD GILBERT NIERMAN LPC

Counselor

(Professional)

1501 KINGS HWY
DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103

(318) 813-2445

DR. OLUGBENGA A AKINGBOLA M.D.

Pediatrics

1501 KINGS HWY
DEPARTMENT OF PEDIATRICS
SHREVEPORT, LA
ZIP 71103

(318) 675-7737

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245974310, enumerated as an "individual" on April 25, 2022.

The provider is located at 1501 KINGS HWY SHREVEPORT, LA 71103 and the phone number is (318) 626-0434.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.