Active NPI
Mid State Orthopaedics & Sports Medicine Center LLC
- Orthopaedic Surgery Physician
- Marksville, LA
National Provider Identifier
1376099010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC
- Practice address
- 5541 Hwy 1
Marksville, LA 71351-2650 - Phone
- (318) 473-9556
- Fax
- (318) 484-6032
- NPI assigned
- Sep 1, 2016
- Last updated
- Apr 26, 2021
- Organization subpart
- Yes
- Parent organization
- MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Dodson, M.D.
- Title
- President
- Phone
- (318) 473-9556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
5541 Hwy 1
Marksville, LA 71351-2650
Mailing address
3444 Masonic Drive
Alexandria, LA 71301-3615
Phone (318) 473-9556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1946320 | Medicaid | LA | |
| 0570570001 | Other | LA | MEDICARE DME |
National Provider Directory
National Provider Directory- Part of
- Mid South Orthopaedic
Practitioners & affiliated clinicians
Practitioners 1
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 Hand Surgery Physician
- Alexandria, LA
- NPI 1487628236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619395200000",
"number": "1376099010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 MASONIC DRIVE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013615",
"telephone_number": "318-473-9556",
"fax_number": "318-484-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5541 HWY 1",
"city": "MARKSVILLE",
"state": "LA",
"postal_code": "713512650",
"telephone_number": "318-473-9556",
"fax_number": "318-484-6032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC",
"enumeration_date": "2016-09-01",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A",
"authorized_official_last_name": "DODSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-473-9556",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1946320",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "0570570001",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marksville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.