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643 Extenders LLC

Surgical Physician Assistant in Shreveport, LA · enumerated 2026 · authorized official John Googe, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821904863

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Registry record

Entity type Organization (Type 2)
Legal business name 643 Extenders LLC
Practice address 1500 Line Ave Ste 204, Shreveport, LA, 71101
Phone (318) 629-5496
Enumeration date Aug 20, 2026
Last updated in NPPES Aug 20, 2026

Taxonomy & classification

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name John Googe
Title President
Phone (318) 629-5496

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-08-20. Verify at npiregistry.cms.hhs.gov.
Where is 643 Extenders LLC located?
The practice location on file with NPPES is in Shreveport, LA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-20.