Active NPI
Denise A McKnight, MD
- Anesthesiology Physician
- Monroe, LA
National Provider Identifier
1336157064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD.09584R
- Practice address
- 309 Jackson St
Monroe, LA 71201-7407 - Phone
- (504) 779-5515
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD.09584R | LA | Primary |
Addresses
Primary practice location
309 Jackson St
Monroe, LA 71201-7407
Mailing address
3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531
Phone (504) 779-5515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1961680 | Medicaid | LA |
Other names 1
- Denise A Elliott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.09584R | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smso Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Ruston LLC | Anesthesiology | Past | Accepting new patients |
Locations
2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
706 Ross St
Oak Grove, LA 71263
Phone (318) 428-3237
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Ruston, LA
- NPI 1255352902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1336157064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 N CAUSEWAY BLVD",
"address_2": "SUITE 404",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023531",
"telephone_number": "504-779-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712017407",
"telephone_number": "504-779-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "DENISE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "MD.09584R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1961680",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "ELLIOTT",
"middle_name": "A",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.