Physician Group of Louisiana Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIAN GROUP OF LOUISIANA INC

Doing business as

Steward Medical Group of Louisiana

Practice address

1900 N 7TH St
West Monroe, LA 71291-4416

Phone

(318) 651-7000

NPI assigned

Nov 20, 2018

Last updated

Nov 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan A Demke

Title

Ceo

Phone

(615) 467-1072

Specialties & licenses 1

Addresses

Other names 1

• STEWARD MEDICAL GROUP OF LOUISIANA Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physician Group of Louisiana Inc

  • General Practice Physician
  • West Monroe, LA
  • NPI 1316188998

  O20091202000287

  Same enrollment

Locations

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Sills Anderson, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Monroe, LA
  • NPI 1568957819
  NPD
• Tommy Glenn Banks III, MD

  • Family Medicine Physician
  • West Monroe, LA
  • NPI 1952693830
  NPD
• William Edward Beebe, M.D.

  • Hospitalist Physician
  • Monroe, LA
  • NPI 1740382498

  Family Medicine

  NPD
• Christopher Bernadas

  • Psychiatry Physician
  • Monroe, LA
  • NPI 1649632050
  NPD
• Mark Edward Boersma, M.D.

  • Hospitalist Physician
  • West Monroe, LA
  • NPI 1518104439
  NPD
• Billy Glynn Branch, MD

  • Internal Medicine Physician
  • Sterlington, LA
  • NPI 1780975565
  NPD
• Erin Robinson Breard, MD

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1982048237
  NPD
• Cindy Fuller Dollar, MD

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1346357308

  Family Medicine

  NPD
• Mark Freeman Dollar, MD

  • Family Medicine Physician
  • West Monroe, LA
  • NPI 1508824970
  NPD
• Harry W. Donias, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • West Monroe, LA
  • NPI 1568440394
  NPD
• Sherri Drake, FNP

  • Family Nurse Practitioner
  • Wisner, LA
  • NPI 1891225025
  NPD
• John Weston Evans, PAC

  • Physician Assistant
  • Ruston, LA
  • NPI 1912433244
  NPD

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1013486059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281796",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841796",
            "telephone_number": "866-243-7107",
            "fax_number": "314-432-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914416",
            "telephone_number": "318-651-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN GROUP OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "DEMKE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-467-1072"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEWARD MEDICAL GROUP OF LOUISIANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Hutson Peters, PA
• Kimberly Ann Peters, BCBA, M.S.
• Brenda Zeagler Pettis, RPH
• Melissa Petz, PHARM. D.
• Brandon Lane Phillips, MD
• Physician Group of Louisiana Inc
• Physician Group of Louisiana Inc (Steward Medical Group of Louisiana)
• Shari G. Picou, AU.D.
• Latoya Anderson Pierce, PLPC
• Nancy B Pierron, RPH

• Family Medicine Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.