ORTHOPAEDIC CLINIC OF MONROE


Address: 707 S Vienna St, Ruston, LA 71270-5845
Phone: 3182518001

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1004448 05

Other Provider IDs and Locations

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

Office Location

Street Address 707 S VIENNA ST
City RUSTON
State LA
Zip Code 71270-5845

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and state

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
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Competitor

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City RUSTON
Zip Code 71270

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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.

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