AFFINITY HEALTH GROUP, LLC (NPI# 1811948037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811948037 |
Entity Type | Organization |
Organization Name | AFFINITY HEALTH GROUP, LLC |
Other Organization Name | PEDICATRICS PLUS, AMC |
Practice Address |
3401 Magnolia Cv Monroe LA 71203-2375 |
Mailing Address |
130 Desiard St Ste 355 Monroe LA 71201-7319 |
Practice Telephone | 3183256311 |
Practice Fax Number | 3183619805 |
Mailing Telephone | 3188077875 |
Mailing Fax Number | 3188129997 |
Enumeration Date | 2006-05-12 |
Last Update Date | 2011-07-05 |
Authorized Official Name | MR. MIKE BREARD (VICE PRESIDENT) |
Authorized Official Telephone | 3183610900 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
PEDICATRICS PLUS, AMC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
1457822991 | Affinity Health Group, LLC | Family Medicine | 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 | 2018-12-10 |
1104274075 | Affinity Health Group, LLC | Clinical Medical Laboratory | 2516 Broadmoor Boulevard, Suite 1c, Monroe, LA 71201 | 2016-06-01 |
1427414549 | Affinity Health Group, LLC | Clinical Nurse Specialist | 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 | 2016-01-05 |
1316352677 | Affinity Health Group, LLC | Internal Medicine | 1 Bancroft Cir, Monroe, LA 71201-5101 | 2014-06-25 |
1750667481 | Affinity Health Group, LLC | Dietitian, Registered | 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | 2011-10-26 |
1669767638 | Affinity Health Group, LLC | Dietitian, Registered | 920 Oliver Rd # J, Monroe, LA 71201-5702 | 2011-06-17 |
1023291226 | Affinity Health Group, LLC | Internal Medicine | 112 Saint. John Street, Monroe, LA 71201 | 2007-12-11 |
1902850035 | Affinity Health Group, LLC | Family Medicine | 261 Hwy 132, Mangham, LA 71259-0219 | 2006-05-22 |
1922617299 | Affinity Health Group, LLC | Pharmacy | 110 Saint John St, Monroe, LA 71201-7322 | 2020-07-23 |
Street Address |
3401 MAGNOLIA CV |
City | MONROE |
State | LA |
Zip Code | 71203-2375 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902899602 | Bonita H Dyess | Pediatrics | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-08-26 |
1699387407 | Kate M Rugg | Nurse Practitioner | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2020-08-21 |
1720367501 | Stacy Domingues Webb | Nurse Practitioner | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2011-08-10 |
1518940709 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-11-22 |
1154314854 | Nancy L Zukowski | Pediatrics | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-08-26 |
1336132042 | Vivian Sherrie Carr | Nurse Practitioner | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
Find all providers in zip 71203 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255774477 | Nour Khalid Abu Saleh | Pediatrics | 2915 Betin Ave, Monroe, LA 71201-7257 | 2013-04-08 |
1881972941 | Edward W Lenard Md LLC | Pediatrics | 731 Main St, Monroe, CT 06468-2872 | 2011-07-22 |
1205973708 | Badrossadat Madani | Pediatrics | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2007-01-31 |
1689635237 | First Care Medical Clinic, Pa | Pediatrics | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2006-03-31 |
1154314854 | Nancy L Zukowski | Pediatrics | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962970582 | Total Health Family Medicine | Pediatrics | 9435 Mansfield Rd Ste 5b, Shreveport, LA 71118-3859 | 2018-11-13 |
1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
1992925614 | John E Daigre Jr. | Pediatrics | 315 N Demanade Blvd, Lafayette, LA 70503-2555 | 2007-04-26 |
1811017882 | Barry Stephen Bordenave | Pediatrics | 321 Overhill Dr, Lake Charles, LA 70605-6527 | 2007-03-30 |
1174691034 | Linda Ann Doughty White | Pediatrics | 4511 Downman Rd, New Orleans, LA 70126-3716 | 2006-11-30 |
1780763946 | Alfredo Oscar Lebron | Pediatrics | 3220 Kaliste Saloom Rd, Lafayette, LA 70508 | 2006-11-06 |
1316030851 | Stephanie Catherine Arnaud | Pediatrics | 515 Westbank Expressway, Suite 1, Gretna, LA 70053 | 2006-10-02 |
1306945399 | Cecily Joan Poree-turner | Pediatrics | 4052 Ulloa St, New Orleans, LA 70119-6834 | 2006-09-22 |
1952401705 | Child Health America Physician Group | Pediatrics | 3324 Florida Blvd, Baton Rouge, LA 70806 | 2006-09-22 |
1720195290 | Dana Angelle Fakouri | Pediatrics | 8040 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2006-08-23 |
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.