Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ochsner LSU Health Shreveport - St Mary Medical Center, LLC

Organization Obstetrics & Gynecology Physician · NPI 1508522558

Ochsner LSU Health Shreveport - St Mary Medical Center, LLC is an Obstetrics & Gynecology Physician in Shreveport, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Saint Mary Pl
Shreveport, LA 71101-4307
Phone: (318) 626-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1508522558
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOchsner LSU Health Shreveport - St Mary Medical Center, LLC
Authorized official Vernon Moore — Cfo · (318) 626-0990
NPI enumeratedNovember 15, 2021
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021
Mailing address1512 W Kirby Pl, Shreveport, LA 71103-3822

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