Medical Association of Northeast Louisiana Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

12175R Issued in LA

Legal business name

MEDICAL ASSOCIATION OF NORTHEAST LOUISIANA INC.

Practice address

102 Thomas Rd
Suite 103
West Monroe, LA 71291-7365

Phone

(318) 387-1946

Fax

(318) 387-8781

NPI assigned

Nov 30, 2006

Last updated

Jan 9, 2012By 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

Assad Husein Mouhaffel, M.D.NPI 1760591010

Title

Owner

Phone

(318) 387-1946

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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.

• Assad Husein Mouhaffel, MD

  • Cardiovascular Disease Physician
  • West Monroe, LA
  • NPI 1760591010
  Medicare reassignment NPD Authorized official
• Brent M Pippins, AGNP-C

  • Registered Nurse
  • Monroe, LA
  • NPI 1770140642
  Medicare reassignment NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1023185220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD",
            "address_2": "SUITE 103",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917366",
            "telephone_number": "318-387-1946",
            "fax_number": "318-387-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD",
            "address_2": "SUITE 103",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917365",
            "telephone_number": "318-387-1946",
            "fax_number": "318-387-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATION OF NORTHEAST LOUISIANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "MOUHAFFEL",
        "authorized_official_first_name": "ASSAD",
        "authorized_official_middle_name": "HUSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-387-1946",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "12175R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448508",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie McLaughlin, PLPC
• Steven H McMahan, M.D.
• Jennifer McMillan, FNP
• Landon Meador, PLPC
• Medicafx LLC
• Medical Temps, Inc
• Medicine Clinic, Inc
• Alexis Wyatt Meeks, LMFT, LPC
• Melanie Massey Infant & Toddler LLC
• Melinda Legg OD a Professional Optometry Corporation

• Medical Specialty Clinic/Center in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.