Individual provider Active NPI

David Norman, M.D.

  • Surgery Physician
  • West Monroe, LA
National Provider Identifier
1417063181
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
303267 Issued in LA
Practice address
102 Thomas Rd
Suite 106
West Monroe, LA 71291-7366
Phone
(318) 329-8411
Fax
(318) 329-8412
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 049071 GA
Surgery Physician 208600000X 303267 LA Primary

Addresses

Primary practice location

102 Thomas Rd
Suite 106
West Monroe, LA 71291-7366

Mailing address

102 Thomas Rd
Suite 201
West Monroe, LA 71291-7366
Phone (318) 329-8411

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018000018 LA Practitioner - General Surgery 5294786745 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049071GAMDSurgery Physician
303267LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Louisiana Inc CurrentSince Sep 1, 2016 Accepting new patients
Physician Group of Louisiana Inc CurrentSince Sep 1, 2016 Accepting new patients
Hsa Louisiana Physician Group Inc CurrentSince Aug 23, 2025 Accepting new patients
Georgia Laparospic Surgical Specialists PC Surgery PastSince Oct 22, 2004 Accepting new patients

Locations

102 Thomas Rd
Ste 106
West Monroe, LA 71291
Phone (318) 329-4395

102 Thomas Rd
Ste 201
West Monroe, LA 71291
Phone (318) 329-8411

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

Interoperability endpoints

  • Direct secure messaging: david.norman.1@19036.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1417063181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD",
            "address_2": "SUITE 201",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917366",
            "telephone_number": "318-329-8411",
            "fax_number": "318-329-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD",
            "address_2": "SUITE 106",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917366",
            "telephone_number": "318-329-8411",
            "fax_number": "318-329-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "049071",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "303267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.