West Monroe Family Practice Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WEST MONROE FAMILY PRACTICE CLINIC

Doing business as

Family Practice Clinic

Practice address

2933 Cypress St Ste 1
Hall a
West Monroe, LA 71291-5337

Phone

(318) 398-2680

Fax

(318) 322-2885

NPI assigned

Jan 28, 2014

Organization subpart

Yes

Parent organization

ONE SOURCE MEDICAL MANAGEMENT, INC.As reported in NPPES

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

Authorized official

Name

Danny Garner

Title

Practice Manager

Phone

(318) 398-2680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Practice Clinic Doing business as

Part of

One Source Medical MGMT Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• One Source Medical Management, Inc.

  • Clinic/Center
  • West Monroe, LA
  • NPI 1982670923
  NPPES parent name

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1306269360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2673",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712942673",
            "telephone_number": "318-398-2680",
            "fax_number": "318-322-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 CYPRESS ST STE 1",
            "address_2": "HALL A",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915337",
            "telephone_number": "318-398-2680",
            "fax_number": "318-322-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MONROE FAMILY PRACTICE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE SOURCE MEDICAL MANAGEMENT, INC.",
        "enumeration_date": "2014-01-28",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "318-398-2680"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356232",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• West Monroe Care Center LLC
• West Monroe Dialysis LLC
• West Monroe Family Clinic
• West Monroe Guest House, Inc.
• West Monroe Hearing Services, LLC.
• West Monroe Internal Medicine, Apmc
• West Monroe Pediatrics, LLC
• West Monroe Urgent Care Center, LLC

• Family Medicine Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.