Active NPI
Musculoskeletal Institute of Louisiana, LLC
- Orthopaedic Surgery Physician
- Bossier City, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MUSCULOSKELETAL INSTITUTE OF LOUISIANA, LLC
- Practice address
- 2005 Landry Dr
Bossier City, LA 71111 - Phone
- (318) 752-7850
- Fax
- (318) 752-7855
- NPI assigned
- Dec 27, 2007
- Last updated
- Aug 20, 2026
- 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
- Michelle Stillwell
- Title
- Cfo
- Phone
- (318) 629-5451
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
2005 Landry Dr
Bossier City, LA 71111
Mailing address
1534 Elizabeth Ave Ste 301
Shreveport, LA 71101-4531
Phone (318) 629-5001
Other practice location 1
1500 Line Ave Ste 100
Shreveport, LA 71101-4644
Phone (318) 635-3052
Other practice location 2
2005 Landry Dr
Bossier City, LA 71111
Phone (318) 752-7850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000899 | LA | Part B Supplier - Clinic/Group Practice | 0143127415 |
Receives reassigned benefits from 31 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bossier City, LA; Shreveport, LA |
| O20100930031899 | LA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 0143127415 | Practice locations: Bossier City, LA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1316957012
0143127415
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1316957012
O20031215000899
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912118134
Member Of
Locations
1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052
1500 Line Ave
Ste 202
Shreveport, LA 71101
Phone (318) 629-5005
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Specialists Hospital Shreveport, LLC | Hospital | 5% Or Greater Direct Ownership Interest (73.68%) | Jan 1, 2012 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912118134
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 26
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.
-
- Orthopaedic Surgery of the Spine Physician
- Bossier City, LA
- NPI 1982606356
-
- Pain Medicine (Anesthesiology) Physician
- Shreveport, LA
- NPI 1750842290
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1447242276
-
- Physician Assistant
- Shreveport, LA
- NPI 1295379576
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1043659469
-
- Family Nurse Practitioner
- Shreveport, LA
- NPI 1710233721
-
- Orthopaedic Hand Surgery Physician
- Shreveport, LA
- NPI 1619036951
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1164427829
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1255470118
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1124349931
-
- Occupational Therapist
- Shreveport, LA
- NPI 1548556244
-
- Orthopaedic Surgery Physician
- Bossier City, LA
- NPI 1760684732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1265616130",
"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": "2005 LANDRY DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "71111",
"telephone_number": "318-752-7850",
"fax_number": "318-752-7855"
}
],
"practiceLocations": [
{
"address_1": "1500 Line Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711014644",
"country_code": "US",
"telephone_number": "318-635-3052",
"fax_number": "318-635-3072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2005 Landry Dr",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "71111",
"country_code": "US",
"telephone_number": "318-752-7850",
"fax_number": "318-752-7855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MUSCULOSKELETAL INSTITUTE OF LOUISIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "STILLWELL",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "318-629-5451"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.