Organization Active NPI

Minden Family Medicine LLC

  • Family Medicine Physician
  • Minden, LA
National Provider Identifier
1275614836
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD024175 Issued in LA
Legal business name
MINDEN FAMILY MEDICINE LLC
Practice address
3 Medical Plaza PL
Minden, LA 71055-3330
Phone
(318) 377-7134
Fax
(318) 377-7098
NPI assigned
Oct 18, 2006
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Dr. Christopher M Earnhardt, MDNPI 1699762948
Title
M.D./Owner
Phone
(318) 377-7134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD024175 LA Primary

Addresses

Primary practice location

3 Medical Plaza PL
Minden, LA 71055-3330

Mailing address

114 Homer Rd
Minden, LA 71055-2732
Phone (318) 377-7134

Other identifiers 1

IdentifierTypeStateIssuer
1441678MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100305000396 LA Part B Supplier - Clinic/Group Practice 1254476948 Receives reassigned benefits from 2 practitioners
Practice locations: Minden, LA

National Provider Directory

National Provider Directory

Locations

114 Homer Rd
Minden, LA 71055
Phone (318) 377-7134

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIEBA

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1275614836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552732",
            "telephone_number": "318-377-7134",
            "fax_number": "318-377-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-7134",
            "fax_number": "318-377-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "EARNHARDT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "318-377-7134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD024175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441678",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.