NPIMap

Organization Active NPI

St Francis Medical Center, Inc

  • Diagnostic Radiology Physician
  • Monroe, LA
National Provider Identifier
1437149168
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
157 Issued in LA
Legal business name
ST FRANCIS MEDICAL CENTER, INC
Practice address
309 Jackson St
Monroe, LA 71201-7407
Phone
(318) 327-4255
Fax
(318) 327-4764
NPI assigned
Oct 25, 2005
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
ST FRANCIS MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mr. Ronald Hogan
Title
Cfo/Sr VP
Phone
(318) 327-7369

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080N0001X 157 LA
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 157 LA Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 157 LA

Addresses

Primary practice location

309 Jackson St
Monroe, LA 71201-7407

Mailing address

PO Box 1901
Monroe, LA 71210-1901
Phone (318) 327-4255

Other names 1

  • EKG SERVICES & HOSPITAL BASED PHYSICIANS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000183 LA Part B Supplier - Clinic/Group Practice 7810892718 Receives reassigned benefits from 65 practitioners
1 other NPI on this enrollment
Practice locations: Monroe, LA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St Francis Medical Center9 organizations share this tax ID, including this one
Part of
St Francis Medical Center

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fmol Health| St. FrancisMonroe, LA, CCN 190125 Hospital Operational/Managerial Control Aug 15, 2013
Fmol Health| St. FrancisMonroe, LA, CCN 19T125 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1990
St Francis Medical Center Home HealthMonroe, LA, CCN 197091 Home health agency 5% Or Greater Direct Ownership Interest (33%) Sep 1, 2001

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1437149168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1901",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712101901",
            "telephone_number": "318-327-4255",
            "fax_number": "318-327-4764"
        },
        {
            "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": "318-327-4255",
            "fax_number": "318-327-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS MEDICAL CENTER INC",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CFO/SR VP",
        "authorized_official_telephone_number": "318-327-7369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "157",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "157",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": "157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EKG SERVICES & HOSPITAL BASED PHYSICIANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.