Marion E Milstead, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

013618 Issued in LA

Practice address

1500 Line Avenue
Ste 100
Shreveport, LA 71101

Phone

(318) 635-3052

Fax

(318) 632-6087

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiology Imaging Associates, LLP

  • Body Imaging Physician
  • Bossier City, LA
  • NPI 1265410583
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1265425508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 ELIZABETH AVE STE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014531",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVENUE",
            "address_2": "STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-635-3052",
            "fax_number": "318-632-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILSTEAD",
        "first_name": "MARION",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "13618",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "013618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalind D Mills
• Tiffany Brown Mills
• Ty'Reginesha Reshay Mills
• Joseph W Milner Jr., MD
• Kelly M Milstead, D.D.S.
• Milton Slocum MD Apmc
• Caleb Johan Milton, RBT
• Quanerick Milton
• Victor Milus
• Wenona Milus, M.ED, RSW

• Orthopaedic Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.