HIGHLAND CLINIC, A PROF MED CORP
NPI 1700259678
Orthopaedic Surgery in Shreveport, LA

Active since November 02, 2015
1453 E BERT KOUN LOOP, #210, SHREVEPORT, LA 71105(318) 798-4623(318) 798-4646 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Dec 8, 2015 (2 updates tracked since 2015).

About Highland Clinic, A Prof Med Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGHLAND CLINIC, A PROF MED CORP (NPI 1700259678) is a healthcare organization registered as an orthopaedic surgery in Shreveport, Louisiana and active in the NPI registry since November 2015. The organization lists Michael Gustavson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700259678
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameHIGHLAND CLINIC, A PROF MED CORP
Location Address1453 E BERT KOUN LOOP, #210Shreveport, LA 71105-6800
Mailing Address1455 E Bert Koun LoopShreveport, LA 71105-5634 · (318) 798-4500 · Fax (318) 798-4555
Fax(318) 798-4646
Organization SubpartNo
Authorized OfficialMichael GustavsonAdministrator · (318) 798-4465
Enumeration DateNovember 2, 2015
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1700259678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1453 E BERT KOUN LOOP, Shreveport, LA 71105

Other Identifiers 1

Medicaid1038300LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1453 E BERT KOUN LOOP, SUITE 112
SHREVEPORT, LA 71105
Registered Nurse
1453 E BERT KOUN LOOP
SHREVEPORT, LA 71105
Internal Medicine (Cardiovascular Disease)
1453 E BERT KOUN LOOP, SUITE 112
SHREVEPORT, LA 71105
Nurse Practitioner (Acute Care)
1453 E BERT KOUN LOOP
SHREVEPORT, LA 71105
Nurse Practitioner (Acute Care)
1453 E BERT KOUN LOOP
SHREVEPORT, LA 71105
Internal Medicine (Cardiovascular Disease)
1453 E BERT KOUN LOOP, STE 112
SHREVEPORT, LA 71105
Internal Medicine (Cardiovascular Disease)
1453 E BERT KOUN LOOP, STE 112
SHREVEPORT, LA 71105
Registered Nurse
1453 E BERT KOUN LOOP
SHREVEPORT, LA 71105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Highland Clinic, A Prof Med Corp's NPI number?

The NPI number for Highland Clinic, A Prof Med Corp is 1700259678. It was assigned to this organization in the NPPES registry on November 2, 2015.

Where is Highland Clinic, A Prof Med Corp located?

Highland Clinic, A Prof Med Corp is located at 1453 E Bert Koun Loop #210, Shreveport, LA 71105. The listed phone number is (318) 798-4623.

What is Highland Clinic, A Prof Med Corp's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Highland Clinic, A Prof Med Corp was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.