Provider Demographics
NPI:1326062076
Name:NEONATAL CARE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:NEONATAL CARE SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELROD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-865-9796
Mailing Address - Street 1:1 SAINT MARY PL
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4343
Mailing Address - Country:US
Mailing Address - Phone:318-865-9796
Mailing Address - Fax:
Practice Address - Street 1:920 PIERREMONT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-2079
Practice Address - Country:US
Practice Address - Phone:318-865-9796
Practice Address - Fax:318-861-4724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200029700AMedicaid
AR136051002Medicaid
LA1440281Medicaid
TX196720001Medicaid