Active NPI
Musculoskeletal Institute of Louisiana, L.L.C.
- Orthopaedic Surgery Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MUSCULOSKELETAL INSTITUTE OF LOUISIANA, L.L.C.
- Practice address
- 1500 Line Ave Ste 100
Shreveport, LA 71101-4644 - Phone
- (318) 635-3052
- Fax
- (318) 635-3072
- NPI assigned
- Aug 8, 2006
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Occupational Therapist | 225X00000X | |||
| Hand Occupational Therapist | 225XH1200X | |||
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1500 Line Ave Ste 100
Shreveport, LA 71101-4644
Mailing address
1534 Elizabeth Ave Ste 301
Shreveport, LA 71101-4531
Phone (318) 629-5001
Other practice location 1
1534 Elizabeth Ave Ste 201
Shreveport, LA 71101-4531
Phone (318) 629-5505
Other practice location 2
2005 Landry Dr
Bossier City, LA 71111-3169
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 Practice locations: Bossier City, LA; Shreveport, LA |
| O20100930017197 | LA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 0143127415 | Practice locations: Shreveport, 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
- Bossier City, LA
- NPI 1265616130
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
- Bossier City, LA
- NPI 1265616130
O20031215000899
National Provider Directory
National Provider DirectoryLocations
1500 Line Ave
#829
Shreveport, LA 71101
1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052
1534 Elizabeth Ave
Shreveport, LA 71101
Phone (318) 673-8320
1534 Elizabeth Ave
Ste 301
Shreveport, LA 71101
Phone (318) 629-5002
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 32
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
-
- Physician Assistant
- Shreveport, LA
- NPI 1487109138
-
- Physician Assistant
- Bossier City, LA
- NPI 1487906277
-
- Orthopaedic Hand Surgery Physician
- Shreveport, LA
- NPI 1619036951
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1164427829
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1255470118
-
- Physician Assistant
- Shreveport, LA
- NPI 1659503613
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1124349931
-
- Occupational Therapist
- Shreveport, LA
- NPI 1548556244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1316957012",
"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 AVE STE 100",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014644",
"telephone_number": "318-635-3052",
"fax_number": "318-635-3072"
}
],
"practiceLocations": [
{
"address_1": "1534 Elizabeth Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711014531",
"country_code": "US",
"telephone_number": "318-629-5505",
"fax_number": "318-629-5506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2005 Landry Dr",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711113169",
"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, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"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": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"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
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, 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.