NPIMap

Organization Active NPI

Minden Physician Practices LLC

Doing business as The Women's Clinic

  • Obstetrics & Gynecology Physician
  • Minden, LA
National Provider Identifier
1285916254
Registry record updated Jan 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MINDEN PHYSICIAN PRACTICES LLC
Doing business as
The Women's Clinic
Practice address
1 Medical Plaza PL
Minden, LA 71055-3330
Phone
(318) 377-8855
Fax
(318) 377-8852
NPI assigned
Sep 15, 2011
Last updated
Jan 15, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MINDEN PHYSICIAN PRACTICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2012

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

Authorized official

Name
Jess N Judy
Title
President
Phone
(318) 377-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1 Medical Plaza PL
Minden, LA 71055-3330

Mailing address

PO Box 1095
Minden, LA 71058-1095
Phone (318) 377-8855

Other identifiers 1

IdentifierTypeStateIssuer
2167197MedicaidLA

Other names 1

  • THE WOMEN'S CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090930000103 LA Part B Supplier - Clinic/Group Practice 4789720004 Receives reassigned benefits from 91 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minden, LA; Ringgold, LA; Haughton, LA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Minden Physician Practices

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326585600000",
    "number": "1285916254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710581095",
            "telephone_number": "318-377-8855",
            "fax_number": "318-377-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-8855",
            "fax_number": "318-377-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDEN PHYSICIAN PRACTICES LLC",
        "enumeration_date": "2011-09-15",
        "last_updated": "2012-01-15",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-377-8855"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167197",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WOMEN'S CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2012; 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.