NPIMap

Organization Active NPI

Affinity Health Gorup, LLC

Doing business as Affinity Rheumatology Clinic

  • Rheumatology Physician
  • Monroe, LA
National Provider Identifier
1326731191
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
AFFINITY HEALTH GORUP, LLC
Doing business as
Affinity Rheumatology Clinic
Practice address
2516 Broadmoor Blvd Ste 1B2
Monroe, LA 71201-2988
Phone
(318) 807-6292
Fax
(318) 812-6293
NPI assigned
May 30, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Rhonda Collinsworth
Title
Credentialing & Licensing Spec.
Phone
(318) 998-3426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

2516 Broadmoor Blvd Ste 1B2
Monroe, LA 71201-2988

Mailing address

130 Desiard St Ste 355
Monroe, LA 71201-7363
Phone (318) 807-7875

Other names 1

  • Affinity Rheumatology Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affinity Walk in Clinic27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

2516 Broadmoor Blvd
Ste 1B2
Monroe, LA 71201
Phone (318) 807-6292

2516 Broadmoor Blvd
Ste 2A
Monroe, LA 71201

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1326731191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST STE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017363",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 BROADMOOR BLVD STE 1B2",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012988",
            "telephone_number": "318-807-6292",
            "fax_number": "318-812-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTH GORUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "COLLINSWORTH",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CREDENTIALING & LICENSING SPEC.",
        "authorized_official_telephone_number": "318-998-3426"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Rheumatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affinity Rheumatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.