AFFINITY HEALTH GROUP LLC (NPI# 1053957944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053957944 |
| Entity Type | Organization |
| Organization Name | AFFINITY HEALTH GROUP LLC |
| Practice Address |
920 Oliver Rd # A Monroe LA 71201-5702 |
| Mailing Address |
130 Desiard St Ste 355 Monroe LA 71201-7363 |
| Practice Telephone | 3183612136 |
| Practice Fax Number | 3188126338 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | JANET L JUSTICE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3188077875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Affinity Dermatology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609366053 | Affinity Health Group LLC | Clinic/Center | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2018-05-11 |
| 1568977403 | Affinity Health Group LLC | Orthopaedic Surgery | 2516 Broadmoor Blvd Ste 1d, Monroe, LA 71201-2988 | 2017-12-13 |
| 1992219786 | Affinity Health Group LLC | Family Medicine | 920 Oliver Rd, Monroe, LA 71201-5702 | 2017-12-01 |
| 1275942757 | Affinity Health Group LLC | Internal Medicine | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-08-08 |
| 1952676124 | Affinity Health Group LLC | Pharmacy | 110 Saint John St, Monroe, LA 71201-7322 | 2012-03-20 |
| 1952372005 | Affinity Health Group LLC | Specialist | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2006-01-27 |
| Street Address |
920 OLIVER RD # A |
| City | MONROE |
| State | LA |
| Zip Code | 71201-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366548885 | Creighton Chandler Jr. | Dermatology | 920 Oliver Rd # A, Monroe, LA 71201-5702 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1801061718 | James M. Ulery Jr Md PC | Dermatology | 1310 N Macomb St, Monroe, MI 48162-3131 | 2008-04-23 |
| 1073704391 | Loretta Pylant Gremillion | Dermatology | 2409 Broadmoor Blvd, Monroe, LA 71201-2964 | 2007-08-05 |
| 1972624120 | Leonid Izikson | Dermatology | 745 State Route 17m, Monroe, NY 10950-2660 | 2007-04-03 |
| 1366548885 | Creighton Chandler Jr. | Dermatology | 920 Oliver Rd # A, Monroe, LA 71201-5702 | 2006-09-15 |
| 1043313919 | James Martin Ulery Jr. | Dermatology | 315 Stewart Rd, Monroe, MI 48162-4393 | 2006-09-06 |
| 1851316590 | Janine O Hopkins | Dermatology | 2509 Broadmoor Blvd, Ste A, Monroe, LA 71201-2987 | 2006-07-13 |
| 1922062322 | James Arthur Altick Jr. | Dermatology | 2804 Kilpatrick Blvd, Monroe, LA 71201-5139 | 2006-04-13 |
| 1205454865 | Woundrite Physicians Management, LLC | Dermatology | 1971 N Monroe St, Monroe, MI 48162-4255 | 2020-07-10 |
| 1699300939 | Chronic Disease Management of Georgia, LLC | Dermatology | 704 Breedlove Dr Ste A, Monroe, GA 30655-2054 | 2020-03-06 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.