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
- 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
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
Ste 202
Shreveport, LA 71101
Phone (318) 629-5005
1534 Elizabeth Ave
Ste 301
Shreveport, LA 71101
Phone (318) 629-5002
1500 Line Ave
Fl First
Shreveport, LA 71101
1500 Line Ave
#829
Shreveport, LA 71101
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.
-
- 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.