LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER


Address: 4864 Jackson St, Monroe, LA 71202-6400
Phone: 3183307000

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER (NPI# 1316119167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316119167
Entity Type Organization
Organization Name LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Other Organization Name COMPHREHENSIVE CLINIC OF MONROE
Practice Address 4864 Jackson St
Monroe
LA 71202-6400
Mailing Address 1501 Kings Hwy
Shared Billing Services
Shreveport
LA 71103-4228
Practice Telephone 3183307000
Practice Fax Number 3186755666
Mailing Telephone 3186755000
Mailing Fax Number 3186755666
Enumeration Date 2008-04-01
Last Update Date 2008-04-01
Authorized Official Name MRS. MELANIE H SOTAK (DIRECTOR OF MANAGED CARE)
Authorized Official Telephone 3186757737
Authorized Official Credential MHSA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 142 LA Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology 142 LA Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 142 LA Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 142 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1947288 05

Other Provider/Organization Names

Other Name Type Code
Comphrehensive Clinic of Monroe Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871765982 Louisiana State University Health Sciences Center Family Medicine 2351 Vandenburg Drive, Alexandria, LA 71311 2008-03-28
1154461937 Louisiana State University Health Sciences Center Audiologist 3735 Blair Dr, Shreveport, LA 71103-4601 2007-02-08
1346609526 Louisiana State University Health Sciences Center Durable Medical Equipment & Medical Supplies 1450 Claiborne Ave, Shreveport, LA 71103-4204 2016-02-17
1801239926 Louisiana State University Health Sciences Center General Acute Care Hospital 5825 Airline Hwy, Baton Rouge, LA 70805-2408 2013-04-08
1144544529 Louisiana State University Health Sciences Center Counselor 1450 Claiborne Ave, Shreveport, LA 71103-4204 2010-03-15
1689901316 Louisiana State University Health Sciences Center Counselor 1450 Claiborne Ave, Shreveport, LA 71103-4204 2009-11-18
1437383106 Louisiana State University Health Sciences Center Clinical Medical Laboratory 1501 Kings Hwy, Dpeartment of Surgery Histocompatibility Laboratory, Shreveport, LA 71103-4228 2009-05-11
1649438532 Louisiana State University Health Sciences Center Internal Medicine 1501 Kings Hwy, Department of Internal Medicine - Section of Nephrology, Shreveport, LA 71103-4228 2008-05-28
1962674713 Louisiana State University Health Sciences Center Emergency Medicine 4864 Jackson St, Monroe, LA 71202-6400 2008-04-01
1952573701 Louisiana State University Health Sciences Center General Acute Care Hospital 1501 Kings Hwy, Shreveport, LA 71103-4228 2008-04-01

Office Location

Street Address 4864 JACKSON ST
City MONROE
State LA
Zip Code 71202-6400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215939210 Brfhh Monroe LLC General Acute Care Hospital 4864 Jackson St, Hospital Administration, Monroe, LA 71202-6400 2005-08-10
1952900250 Modnath Sangroula Student in an Organized Health Care Education/Training Program 4864 Jackson St, Monroe, LA 71202-6400 2020-10-19
1265030258 Aastha Garg Student in an Organized Health Care Education/Training Program 4864 Jackson St, Monroe, LA 71202-6400 2020-10-13
1639776917 Yagyesh Karki Student in an Organized Health Care Education/Training Program 4864 Jackson St, Monroe, LA 71202-6400 2020-10-08
1265039366 Jessica Hagan Nurse Practitioner 4864 Jackson St, Monroe, LA 71202-6400 2020-10-02
1295332302 Takinya Raneese Binion-minor Nurse Practitioner 4864 Jackson St, Monroe, LA 71202-6400 2020-10-02
1346857604 Jamie Lynn Putnam Guillot Nurse Practitioner 4864 Jackson St, Monroe, LA 71202-6400 2020-09-30
1275149601 Hemanth Kilaru Student in an Organized Health Care Education/Training Program 4864 Jackson St, Monroe, LA 71202-6400 2020-09-21
1457966525 Julia Lynn Bell Nurse Anesthetist, Certified Registered 4864 Jackson St, Monroe, LA 71202-6400 2020-09-15
1821628165 Lauren Holston Walker Nurse Practitioner 4864 Jackson St, Monroe, LA 71202-6400 2020-01-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170726 Ap&g Transportation LLC Non-emergency Medical Transport (VAN) 211 Malvern St., Monroe, LA 71202 2020-09-30
1902419625 Marilyn F Goldman Non-emergency Medical Transport (VAN) 1001 Wilton Dr, Monroe, LA 71202 2020-08-24
1114583069 Brandon Rashaard Collins Case Manager/Care Coordinator 5504 Robinson Drive, Monroe, LA 71202 2019-05-16
1285131326 Jerrel Stills Counselor 296 Forest Oaks Rd, Monroe, LA 71202 2018-04-06
1164930269 Jakira Gibson Case Manager/Care Coordinator 308 Vegas Dr, Monroe, LA 71202 2018-01-11
1457870321 Whitney Nicole Allen Counselor 806 North 31st Street, Monroe, LA 71202 2017-09-12
1821535527 Collins Wade Counselor 808 S. Second St., Monroe, LA 71202 2017-01-20
1821533639 Geoi Smart Social Worker 1602 Oaklawn Dr, Monroe, LA 71202 2017-01-03
1699124214 Melody Miller Case Manager/Care Coordinator 205 Stacy Dr Apt A, Monroe, LA 71202 2016-06-04
1548618192 Samuel Anjera Spivey Jr. Case Manager/Care Coordinator 110 Blackwood Dr, Monroe, LA 71202 2016-05-24
Find all providers in zip 71202

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972124832 Jessica Womack Family Medicine 527 W Hurd Rd, Monroe, MI 48162-9205 2020-05-01
1134781412 Joshua Dwaine Lentz Family Medicine Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 2019-07-08
1376000620 Paladina Health, LLC Family Medicine Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 2019-02-22
1457822991 Affinity Health Group, LLC Family Medicine 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 2018-12-10
1144601121 Rebecca Redding Family Medicine 924 W Spring St Ste A, Monroe, GA 30655-1751 2015-06-15
1285069088 Geaux Family Health, LLC Family Medicine 2408 Duval Dr, Suite 1, Monroe, LA 71201-2986 2013-09-11
1033559844 Mvhe, Inc Family Medicine 20 Overbrook Dr Ste C, Monroe, OH 45050-1147 2013-06-26
1982048237 Erin Robinson Breard Family Medicine 3995 Sterlington Rd, Ste A, Monroe, LA 71203-3723 2013-04-17
1659614022 Mercy Memorial Hospital Corporation Family Medicine 650 Steward Road, Monroe, MI 48162 2013-04-03
1598015968 Urban Medical Clinic, Inc. Family Medicine 1910 Jackson St., Monroe, LA 71202-2532 2012-09-13
Find all providers in MONROE

Competitor

Search similar providers

City MONROE
Zip Code 71202

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Dataset Information

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.

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