ORTHOPAEDIC AND SPORTS MEDICINE SPECIALIST (NPI# 1861593436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861593436 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC AND SPORTS MEDICINE SPECIALIST |
| Practice Address |
224 Pecan Park Ave Alexandria LA 71303-3308 |
| Practice Telephone | 3184439191 |
| Practice Fax Number | 3184434144 |
| Mailing Telephone | 3184439191 |
| Mailing Fax Number | 3184434144 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TRACY L RADA (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3184439191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891856779 | Orthopaedic and Sports Medicine Specialist | Durable Medical Equipment & Medical Supplies | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2006-12-13 |
| Street Address |
224 PECAN PARK AVE |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781233 | Sara E. Kelly | Emergency Medicine | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2005-09-21 |
| 1134684087 | Christopher Guy Carey | Occupational Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2019-02-05 |
| 1164962742 | Melinda S Bayonne | Occupational Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2017-03-02 |
| 1922556729 | Thomas Lloyd Dean | Physical Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2016-09-21 |
| 1811378375 | Alexandria Ambulatory Surgery Center Lp | Clinic/Center | 224 Pecan Park Ave, Suite E, Alexandria, LA 71303-3308 | 2015-06-10 |
| 1114310463 | Cardiac Cath Lab of Alexandria Lp | Clinic/Center | 224 Pecan Park Ave, Suite A, Alexandria, LA 71303-3308 | 2015-03-11 |
| 1750712618 | Physical and Occupational Therapy of Alexandria, LLC | Occupational Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2013-12-03 |
| 1093010019 | Cenla Urgent Care LLC | Family Medicine | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2011-01-23 |
| 1821260639 | Troy James | Physical Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2008-04-01 |
| 1891856779 | Orthopaedic and Sports Medicine Specialist | Durable Medical Equipment & Medical Supplies | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962067389 | Yehia Hamdy Bedeir | Orthopaedic Surgery | El Hadara University Hospital, Alexandria, ALEXANDRIA 21500 | 2019-05-01 |
| 1851705057 | Jonathan James Harvey | Orthopaedic Surgery | 111 17th Ave E Ste 101, Alexandria, MN 56308-5274 | 2014-06-16 |
| 1104849009 | Jeffrey L Garrison | Orthopaedic Surgery | 3444 Masonic Drive, Alexandria, LA 71301 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003337478 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 309 Mcmillan Rd, West Monroe, LA 71291-5323 | 2017-07-06 |
| 1669926887 | Kindl Works LLC | Orthopaedic Surgery | 1570 Lindberg Dr Ste 6, Slidell, LA 70458 | 2016-08-04 |
| 1033536529 | David Leslie | Orthopaedic Surgery | 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121-1015 | 2014-03-24 |
| 1215290580 | Paul Phillips Iv | Orthopaedic Surgery | 478 S Johnson St Fl 6, New Orleans, LA 70112-2238 | 2012-06-20 |
| 1295938892 | Michael Jesse Mcnulty Iv | Orthopaedic Surgery | 3800 Houma Boulevard, Suite 200, Metairie, LA 70006 | 2007-06-09 |
| 1205925070 | Ronald D. Sylvest | Orthopaedic Surgery | 7414 Picardy, Ste A, Baton Rouge, LA 70808 | 2006-10-12 |
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1336144757 | William S Bundrick | Orthopaedic Surgery | 2449 Hospital Dr Ste 200, Bossier City, LA 71111-2382 | 2005-06-14 |
| 1013574961 | Ochsner Clinic Foundation | Orthopaedic Surgery | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2019-05-28 |
| 1891216263 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2017-07-06 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on ORTHOPAEDIC AND SPORTS MEDICINE SPECIALIST.
| 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.