ORTHOPAEDIC CLINIC OF MONROE (NPI# 1891216263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891216263 |
Entity Type | Organization |
Organization Name | ORTHOPAEDIC CLINIC OF MONROE |
Practice Address |
707 S Vienna St Ruston LA 71270-5845 |
Mailing Address |
1501 Louisville Ave Monroe LA 71201-6025 |
Practice Telephone | 3182518001 |
Practice Fax Number | 3183612613 |
Mailing Telephone | 3183238451 |
Enumeration Date | 2017-07-06 |
Last Update Date | 2018-06-16 |
Authorized Official Name | KEVIN GOLDMAN (ADMINISTRATOR) |
Authorized Official Telephone | 3183624328 |
Authorized Official Credential | CFO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1004448 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
1003337478 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 309 Mcmillan Rd, West Monroe, LA 71291-5323 | 2017-07-06 |
1144266511 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2006-06-22 |
Street Address |
707 S VIENNA ST |
City | RUSTON |
State | LA |
Zip Code | 71270-5845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548418189 | Meghan Tooke Kavanaugh | Nutritionist | 707 S Vienna St, Ruston, LA 71270-5845 | 2008-09-08 |
1417574294 | Marti Bordenlon Vandagriff | Dietitian, Registered | 707 S Vienna St, Ruston, LA 71270 | 2020-06-29 |
1407262249 | Nicola Piazza Kent | Nurse Practitioner | 707 S Vienna St, Ruston, LA 71270-5845 | 2014-07-01 |
1093157927 | Jessica Stewart | Nurse Practitioner | 707 S Vienna St, Ruston, LA 71270-5845 | 2013-07-19 |
1407100183 | Hill Medical Services, LLC | Nurse Practitioner | 707 S Vienna St, Ruston, LA 71270-5845 | 2012-11-02 |
1407108038 | Ruston Xray Services LLC | Radiology | 707 S Vienna St, Ruston, LA 71270-5845 | 2012-10-05 |
1760733232 | St Francis Medical Group LLC | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2012-09-25 |
1235413329 | Ashlea Jones Hill | Nurse Practitioner | 707 S Vienna St, Ruston, LA 71270-5845 | 2011-10-06 |
1457639700 | James S Finley Md A Professional Medical Corporation | Specialist | 707 S Vienna St, Ruston, LA 71270-5845 | 2011-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
Find all providers in zip 71270 |
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 |
---|---|---|---|---|
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 |
1154876670 | Orthobr LLC | Orthopaedic Surgery | 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 | 2016-08-25 |
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.