MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC (NPI# 1609320506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609320506 |
| Entity Type | Organization |
| Organization Name | MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC |
| Practice Address |
155 Ninth St Ste A Jena LA 71342-3900 |
| Mailing Address |
3444 Masonic Dr Alexandria LA 71301-3615 |
| Practice Telephone | 3184739556 |
| Practice Fax Number | 3184418339 |
| Mailing Telephone | 3184739556 |
| Mailing Fax Number | 3184418339 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2017-02-24 |
| Authorized Official Name | MARK A DODSON (PRESIDENT) |
| Authorized Official Telephone | 3184739556 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 9317843 | LA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 9317843 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205385796 | Mid State Orthopaedic & Sports Medicine Center LLC | Orthopaedic Surgery | 601 W Lafayette St, Winnfield, LA 71483-3451 | 2016-09-26 |
| 1093262123 | Mid State Orthopaedic & Sports Medicine Center LLC | Orthopaedic Surgery | 429 Rocky Bayou Drive, Pineville, LA 71360 | 2016-09-07 |
| 1447707583 | Mid State Orthopaedic & Sports Medicine Center LLC | Orthopaedic Surgery | 504 Jack Miller Road, Villeplatte, LA 70586 | 2016-09-07 |
| Street Address |
155 NINTH ST STE A |
| City | JENA |
| State | LA |
| Zip Code | 71342-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053973693 | Kathy Lambeth | Nurse Practitioner | 155 Ninth St, Jena, LA 71342-3900 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218162 | Just Health | Clinic/Center | 2083 S 2nd St, Jena, LA 71342 | 2020-06-03 |
| 1730722471 | Dm Properties of Lafayette, LLC | Clinic/Center | 3662 W Oak St, Jena, LA 71342 | 2019-10-25 |
| 1184160335 | Ashley Smith | Counselor | 842 W Bradford St, Jena, LA 71342 | 2017-01-12 |
| 1922452788 | Sandra Melvin | Case Manager/Care Coordinator | 3683 Hwy 127 South, Jena, LA 71342 | 2016-04-19 |
| 1962860478 | Jennifer Allemand | Case Manager/Care Coordinator | 3683 S First Street, Jena, LA 71342 | 2016-01-29 |
| 1801253521 | Jasmine Furlow | Counselor | 842 West Bradford, Jena, LA 71342 | 2016-01-26 |
| 1760855035 | Kathryn Long | Case Manager/Care Coordinator | 3863 South First Street, Jena, LA 71342 | 2015-11-09 |
| 1417207200 | Mayo Physical Therapy LLC | Clinic/Center | 12023 Highway 84 West, Jena, LA 71342 | 2012-09-19 |
| 1568736718 | Laverne M Paul | Counselor | 1737 N.2nd Street, Suite B, Jena, LA 71342 | 2012-03-06 |
| 1528359163 | Rebecca W Zeagler | Chiropractor | 12051 Hwy 84 W, Jena, LA 71342 | 2011-05-01 |
| Find all providers in zip 71342 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897743 | Highland Clinic, A Prof Med Corp | Orthopaedic Surgery | 5025 Shed Rd, Bossier City, LA 71111-5434 | 2020-09-24 |
| 1437770435 | Cwd LLC | Orthopaedic Surgery | 2600 Belle Chasse Hwy Ste I, Terrytown, LA 70056-7156 | 2020-04-30 |
| 1982224556 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 376 Cocoville Rd, Mansura, LA 71350-4264 | 2020-04-23 |
| 1962041954 | James R Lafleur | Orthopaedic Surgery | 122 Wembley Rd, Lafayette, LA 70503-3567 | 2019-12-23 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1467935965 | Marco Rodriguez Md LLC | Orthopaedic Surgery | 606 Colonial Dr Ste A, Baton Rouge, LA 70806-6535 | 2018-09-11 |
| 1114438140 | Oano LLC | Orthopaedic Surgery | 3434 Prytania St Ste 430, New Orleans, LA 70115-3525 | 2017-10-17 |
| 1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
| 1164961975 | Lmg LLC | Orthopaedic Surgery | 14041 Highway 90, Boutte, LA 70039-3511 | 2017-02-14 |
| 1205385796 | Mid State Orthopaedic & Sports Medicine Center LLC | Orthopaedic Surgery | 601 W Lafayette St, Winnfield, LA 71483-3451 | 2016-09-26 |
| Find all providers with the same taxonomy | ||||
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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.