Active NPI
Healthplex Family Clinic, LLC
- Family Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 022545
- Legal business name
- HEALTHPLEX FAMILY CLINIC, LLC
- Practice address
- 9425 Healthplex Dr
Suite 101
Shreveport, LA 71106-8148 - Phone
- (318) 683-5171
- Fax
- (318) 683-5184
- NPI assigned
- Oct 24, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marie M Baker
- Title
- Practice Manager
- Phone
- (318) 683-5171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 022545 | LA | Primary |
Addresses
Primary practice location
9425 Healthplex Dr
Suite 101
Shreveport, LA 71106-8148
Mailing address
9425 Healthplex Dr
Suite 101
Shreveport, LA 71106-8148
Phone (318) 683-5171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447099 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0948948 | Healthplex Family Clinic, LLC | Accreditation | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
9425 Healthplex Dr
Ste 101
Shreveport, LA 71106
Phone (318) 681-6777
9425 Healthplex Dr
Ste 102
Shreveport, LA 71106
Phone (318) 681-7877
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1962404475
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1861410730
-
- Family Medicine Physician
- Homer, LA
- NPI 1669402582
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1295751709
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1225030737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053495374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9425 HEALTHPLEX DR",
"address_2": "SUITE 101",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068148",
"telephone_number": "318-683-5171",
"fax_number": "318-683-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9425 HEALTHPLEX DR",
"address_2": "SUITE 101",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068148",
"telephone_number": "318-683-5171",
"fax_number": "318-683-5184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHPLEX FAMILY CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "318-683-5171",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "LA",
"license": "022545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447099",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.