Applegate

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

APPLEGATE

Practice address

1605 Benton Rd
Suite D
Bossier City, LA 71111-3578

Phone

(318) 742-0500

Fax

(318) 742-0588

NPI assigned

Apr 24, 2009

Last updated

Jun 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Isherwood, MD

Title

Medical Director

Phone

(318) 742-0500

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1437393162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 BENTON RD",
            "address_2": "SUITE D",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113578",
            "telephone_number": "318-742-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BENTON RD",
            "address_2": "SUITE D",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113578",
            "telephone_number": "318-742-0500",
            "fax_number": "318-742-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEGATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "ISHERWOOD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "318-742-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Crenshaw Anderson
• Ray'Tasha Anderson
• Andersons Care Services LLC
• Stephanie Anfinson, RBT
• Michael Alon Angelo, M.D.
• Applegate Health Services, Inc. (AppleGate Recovery of Bossier City)
• Alfonso Aquino, M.D.
• Marisol Aragon
• Arc of Acadiana, Inc
• Arc of Acadiana, Inc (Arc of Acadiana Northwest)

• Addiction Medicine (Family Medicine) Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Addiction Medicine (Family Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.