NPIMap

Organization Active NPI

Orthopaedic Clinic of Monroe

Doing business as North Louisiana Orthopaedic and Sports Medicine Center

  • Non-Pharmacy Dispensing Site
  • Monroe, LA
National Provider Identifier
1124502505
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ORTHOPAEDIC CLINIC OF MONROE
Doing business as
North Louisiana Orthopaedic and Sports Medicine Center
Practice address
1501 Louisville Ave.
Monroe, LA 71201
Phone
(888) 590-0808
Fax
(866) 740-4689
NPI assigned
Sep 20, 2018
Last updated
Sep 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Mackenzie Hahn
Title
Ncpdp Coordinator
Phone
(888) 590-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1501 Louisville Ave.
Monroe, LA 71201

Mailing address

200 Rittenhouse Circle
East Building Ste 5
Bristol, PA 19007
Phone (888) 590-0808

Other names 1

  • North Louisiana Orthopaedic and Sports Medicine Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Clinic of Monroe3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1124502505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIRCLE",
            "address_2": "EAST BUILDING STE 5",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "19007",
            "telephone_number": "888-590-0808",
            "fax_number": "866-740-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOUISVILLE AVE.",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "888-590-0808",
            "fax_number": "866-740-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC CLINIC OF MONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "NCPDP COORDINATOR",
        "authorized_official_telephone_number": "888-590-0808"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Louisiana Orthopaedic and Sports Medicine Center",
            "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 Sep 20, 2018; 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.