Louisiana College

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

LOUISIANA COLLEGE

Doing business as

Louisiana College Sports Medicine

Practice address

1140 College Dr
Box 563
Pineville, LA 71359-1000

Phone

(318) 487-7792

Fax

(318) 487-7174

NPI assigned

Apr 1, 2014

Last updated

Feb 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Patrick Berry

Title

Billing Service Manager

Phone

(314) 598-1663

Specialties & licenses 2

Addresses

Other names 1

• Louisiana College Sports Medicine Doing business as

Locations

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.

• Hannah J Gates, ATC

  • Athletic Trainer
  • Pineville, LA
  • NPI 1730604588
  NPD (past)
• Crystal Renee Nelson, MSED, ATC, LAT

  • Athletic Trainer
  • Pineville, LA
  • NPI 1144648460
  NPD (past)
• William David Rogenmoser, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Alexandria, LA
  • NPI 1902171176
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1326466954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 COLLEGE DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713593995",
            "telephone_number": "318-487-7792",
            "fax_number": "972-367-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 COLLEGE DR",
            "address_2": "BOX 563",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713591000",
            "telephone_number": "318-487-7792",
            "fax_number": "318-487-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "BILLING SERVICE MANAGER",
        "authorized_official_telephone_number": "314-598-1663"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana College Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Louisiana College Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sondra Stephanie Long, LOTR, MOT
• Velda Sue Long, FNP-BC
• Julia Denise Lott, PH.D.
• Kharis Amari Louis
• Louisiana Care Partners,LLC
• Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05544)
• Louisiana Mind Body & Health LLC
• Louisiana Physical Therapy Centers of Pineville LLC
• Louisiana Quick Care LLC
• Theresa H Louviere, MA, LDN,RD

• Sports Medicine (Orthopaedic Surgery) Physician in Pineville, LA
• Providers in Pineville, LA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.