NPIMap

Organization Active NPI

Northeast Louisiana Physician Hospital Organization

  • Preferred Provider Organization
  • Monroe, LA
National Provider Identifier
1104413384
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
NORTHEAST LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION
Practice address
1900 N 18TH St Ste 703
Monroe, LA 71201-4486
Phone
(318) 372-5431
Fax
(318) 387-7358
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Mrs. Monica Lynn Pittman
Title
President
Phone
(318) 387-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1900 N 18TH St Ste 703
Monroe, LA 71201-4486

Mailing address

1900 N 18TH St Ste 703
Monroe, LA 71201-4486
Phone (318) 372-5431

Other names 1

  • Northeast Louisiana Physician Hospital Organization Doing business as

National Provider Directory

National Provider Directory

Locations

1900 N 18th St
Ste 703
Monroe, LA 71201
Phone (318) 372-5431

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1104413384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N 18TH ST STE 703",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014486",
            "telephone_number": "318-372-5431",
            "fax_number": "318-387-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 18TH ST STE 703",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014486",
            "telephone_number": "318-372-5431",
            "fax_number": "318-387-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-387-7358",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Louisiana Physician Hospital Organization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.