Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JACK S RESNECK MD
NPI 1861475691
Dermatology in Shreveport, LA

Active since November 25, 2005
845 OLIVE ST, SHREVEPORT, LA 71104(318) 222-3278(318) 424-3155 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack S Resneck Md NPPES

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

MR. JACK S RESNECK MD (NPI 1861475691) is an individual dermatology provider in Shreveport, Louisiana, licensed in Louisiana (01957) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1861475691
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. JACK S RESNECKCredential: MD
Location Address845 OLIVE STShreveport, LA 71104
Mailing Address845 Olive StShreveport, LA 71104 · (318) 222-3278 · Fax (318) 424-3155
Fax(318) 424-3155
Sole ProprietorNo
Enumeration DateNovember 25, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1861475691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in LA · 01957
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
845 OLIVE ST, Shreveport, LA 71104

Other Identifiers 1

Medicaid1143839LA

Other Providers at the Same Location NPPES 7

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

Pediatrics
845 OLIVE ST, SUITE A
SHREVEPORT, LA 71104
Pediatrics
845 OLIVE ST, SUITE A
SHREVEPORT, LA 71104
Dermatology
845 OLIVE ST
SHREVEPORT, LA 71104
Pediatrics
845 OLIVE ST
SHREVEPORT, LA 71104
Dermatology
845 OLIVE ST
SHREVEPORT, LA 71104
Dermatology
845 OLIVE ST
SHREVEPORT, LA 71104
Pediatrics
845 OLIVE ST, SUITE A
SHREVEPORT, LA 71104

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 Jack Resneck's NPI number?

The NPI number for Jack Resneck is 1861475691. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Jack Resneck located?

Jack Resneck practices at 845 Olive St, Shreveport, LA 71104. The listed phone number is (318) 222-3278.

What is Jack Resneck's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Jack Resneck was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.