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

John Kevin Netterville, MD

Individual provider Emergency Medicine Physician · NPI 1225084536

John Kevin Netterville, MD is an Emergency Medicine in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1995, 31 years ago. Practices with Cross Lake Emergency Group, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
31
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

One St Mary Pl
Shreveport, LA 71101
Phone: (318) 681-4500
Fax: (318) 681-4177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 12640R (LA)

Record details

NPI number1225084536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1995 (31 years in practice)
Group practice Cross Lake Emergency Group, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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