Musculoskeletal Institute of Louisiana, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MUSCULOSKELETAL INSTITUTE OF LOUISIANA, LLC

Practice address

1534 Elizabeth Ave Ste 201
Shreveport, LA 71101-4531

Phone

(318) 629-5505

Fax

(318) 629-5506

NPI assigned

Aug 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janet T Burcham

Title

Credentialing Specialist

Phone

(318) 629-5002

Specialties & licenses 2

Addresses

Other names 1

• Pain Care Consultants Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Michael Angelo, PA

  • Medical Physician Assistant
  • Shreveport, LA
  • NPI 1992831895
  NPD (past)
• Stephen Michael Brandao Jr., NP

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1598891491
  NPD (past)
• David A Cavanaugh, MD

  • Neurological Surgery Physician
  • Shreveport, LA
  • NPI 1821080672
  NPD (past)
• Kathleen K Majors, MD

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1407849755

  Pain Medicine

  NPD (past)
• Ross B Nelson III, MD

  • Pain Medicine (Anesthesiology) Physician
  • Shreveport, LA
  • NPI 1275526592

  Pain Medicine

  NPD (past)
• Robert E Schwartz, MD

  • Orthopaedic Surgery Physician
  • Roswell, NM
  • NPI 1245223569
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1003920232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 ELIZABETH AVE STE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014531",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 ELIZABETH AVE STE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014531",
            "telephone_number": "318-629-5505",
            "fax_number": "318-629-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Landry Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113169",
            "country_code": "US",
            "telephone_number": "318-752-7850",
            "fax_number": "318-752-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUSCULOSKELETAL INSTITUTE OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "BURCHAM",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "318-629-5002"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Care Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain Care Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Solomon Ferrell Murray
• Terenzo Murray
• Jack Clary Murrell Jr.
• Faryal Murtaza
• Musculoskeletal Institute of Louisiana, L.L.C.
• Harry Alcus Muslow, MD
• Usman Mustafa, MD
• Zachary Michael Mutter
• Tabitha Muutu
• My at Home MD, LLC

• All providers in Shreveport, LA
• Pain Medicine (Anesthesiology) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.