GPN-LEESVILLE, LLC


Address: 1020 W Fertitta Blvd, Leesville, LA 71446
Phone: 3372399041

GPN-LEESVILLE, LLC (NPI# 1366929432) 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) 1366929432
Entity Type Organization
Organization Name GPN-LEESVILLE, LLC
Practice Address 1020 W Fertitta Blvd
Leesville
LA 71446
Mailing Address Po Box 722345
Norman
OK 73070-8774
Practice Telephone 3372399041
Enumeration Date 2018-07-23
Last Update Date 2018-07-30
Authorized Official Name CHRIS BEDDOE (CEO)
Authorized Official Telephone 3182565691
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 208800000X Urology Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1017 W Fertitta Blvd, Leesville, LA 714464646 3373929524
1201 W Fertitta Blvd, Leesville, LA 714464637 3373929438
255 Highland Dr, Many, LA 714493717 3372386161
325 W 8th St, Deridder, LA 706345505 3372390989
412 S Pine St, Deridder, LA 706344840 3374625700
427 N Pine St, Deridder, LA 706343905 3374626471
506 S 6th St, Leesville, LA 714464482 3372390989
700 S 6th St, Leesville, LA 714464719 3372380620
927 Verone Ter, Leesville, LA 714464255 3372381049
929 Verone Ter, Leesville, LA 714464255 3373929472
18570 Johnny B. Hall Hwy, Rosepine, LA 70659 3374621913

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013494186 Gpn-leesville, LLC Pathology 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2018-07-23
1043717515 Gpn-leesville, LLC Emergency Medicine 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2018-04-10

Office Location

Street Address 1020 W FERTITTA BLVD
City LEESVILLE
State LA
Zip Code 71446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801895495 Byrd Medical Clinic Inc Urology 1020 W Fertitta Blvd, Leesville, LA 71446 2005-07-18
1881241552 Kary Wilson Physician Assistant 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2019-08-19
1912566779 Oluwayemisi Radiology LLC Radiology 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2019-06-06
1235693847 Kisatchie Emergency Group, LLC Physician Assistant 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2019-01-28
1538623640 Clhg-leesville General Acute Care Hospital 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2019-01-23
1013494186 Gpn-leesville, LLC Pathology 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2018-07-23
1043717515 Gpn-leesville, LLC Emergency Medicine 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2018-04-10
1972034155 Jashua Bower Nurse Practitioner 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2017-03-21
1548660855 Juowen Huang Pharmacist 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2014-08-25
1518255942 Naga Malleswari Vutukuri Internal Medicine 1020 W Fertitta Blvd, Leesville, LA 71446-4645 2011-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699399048 Just Health Clinic/Center 1203 South Fourth St, Leesville, LA 71446 2020-06-02
1487298964 Usafetrans Non-emergency Medical Transport (VAN) 9348 Shreveport Hwy, Leesville, LA 71446 2019-10-29
1235634486 Iberia Comprehensive Community Health Center, Inc. Clinic/Center 298 Nolan Trace Pkwy., Leesville, LA 71446 2018-03-29
1598280810 Heather Wisby Nurse Practitioner 919 S. 10th St., Leesville, LA 71446 2017-08-08
1487183802 Cathryn Lea Gaur Speech-Language Pathologist 300 Nolan Trace, Leesville, LA 71446 2017-06-08
1356708515 Jessica Slaughter Counselor 1808 S 5th St, Suite A, Leesville, LA 71446 2016-01-19
1366820714 Companion Care of Southwest Louisiana In Home Supportive Care 407 B North 5th Street, Leesville, LA 71446 2015-05-18
1760887673 Great River Orthopedic and Sports Medicine Center, Inc. Orthopaedic Surgery 800 S. 3rd St., Leesville, LA 71446 2014-11-04
1003244781 Byrd Regional Hospital General Acute Care Hospital 1020 W. Fertitta Blvd., Leesville, LA 71446 2013-10-16
1447500293 Jana N Lambert Nurse Practitioner 919 S. 10th St, Leesville, LA 71446 2012-09-19
Find all providers in zip 71446

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
1497148415 Robert K. Lamme Md LLC Family Medicine 463 Art Perkins Rd, Leesville, LA 71446-5640 2015-03-16
1417379447 West State Mht LLC Family Medicine 379 Peavy Rd, Leesville, LA 71446-9514 2014-01-10
1619123890 Prashanth Pothem Family Medicine 1201 W Fertitta Blvd, Leesville, LA 71446-4637 2008-08-07
1497917280 Timothy J Donovan Family Medicine 103 West University Parkway, Leesville, LA 71446-4482 2008-07-02
1548422181 Robert Kenneth Lamme Family Medicine 1100 Nolan Trace Parkway, Leesville, LA 71446 2008-06-25
1558356196 B-l Family Practice P A Family Medicine 608 E Columbia Ave, Leesville, SC 29070-7318 2005-09-20
1366437907 Christy Clemenz Dunbar Family Medicine 608 East Columbia Ave, Leesville, SC 29070 2005-09-20
1609869353 Melissa K Moss Family Medicine 802 S 10th St Ste C, Leesville, LA 71446-4662 2005-08-29
1417371279 East State Mht LLC Family Medicine 506 S 6th St, Leesville, LA 71446-4482 2014-02-13
1679815294 Timothy J Donovan Md LLC Family Medicine 103 West University Parkway, Leesville, LA 71446-4482 2013-03-21
Find all providers in LEESVILLE

Competitor

Search similar providers

City LEESVILLE
Zip Code 71446

Improve Information

Please comment or provide details below to improve the information on GPN-LEESVILLE, LLC.

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.

Trending Searches