Louisiana Pain Physicians, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

LOUISIANA PAIN PHYSICIANS, LLC

Practice address

457 Ashley Ridge Blvd
Shreveport, LA 71106-7229

Phone

(318) 861-1260

Fax

(318) 861-1325

NPI assigned

Feb 19, 2007

Last updated

Aug 27, 2009By 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

Mrs. Tammy M. Smith

Title

Chief Financial Officer

Phone

(318) 861-1336

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Louisiana Pain Physicians, LLC

  • Interventional Pain Medicine Physician
  • Minden, LA
  • NPI 1780893040

  O20070711000127

  Same enrollment

Tax ID family

Louisiana Pain Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Louisiana Pain Physicians, LLC

  • Interventional Pain Medicine Physician
  • Natchitoches, LA
  • NPI 1538305123
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16952/brand/1/csg/1/fhir/r4

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.

• William Sydney Whyte II, M.D.

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1821060476

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Craig G Morton, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lake Charles, LA
  • NPI 1154465300
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1083758254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-861-1260",
            "fax_number": "318-861-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-861-1260",
            "fax_number": "318-861-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PAIN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-861-1336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1274",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana Infectious Diseases Consultant, LLC
• Louisiana Medical Diagnostics
• Louisiana Neurologic Clinic AMC
• Louisiana Neurologic Specialties Inc
• Louisiana Orthodontic Specialists
• Louisiana State University Health Sciences C Enter Pathology Departmen
• Louisiana State University Health Sciences Center (LSU Health Shreveport dba Allied Health Clinics)
• Louisiana State University Health Sciences Center (LSUHSC-S Department of Surgery)
• Louisiana State University Health Sciences Center (Allied Health Clinics Early Steps)
• Louisiana State University Health Sciences Center (Allied Health Clinics)

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.