NPIMap

Organization Active NPI

The Arthritis and Diabetes Clinic Inc

  • Specialist
  • Monroe, LA
National Provider Identifier
1447378617
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD. 05877R Issued in LA
Legal business name
THE ARTHRITIS AND DIABETES CLINIC INC
Practice address
3402 Magnolia CV
Monroe, LA 71203-2374
Phone
(318) 388-5830
Fax
(318) 322-1249
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Madura J Rangaraj, MD
Title
President
Phone
(318) 388-5830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD. 05877R LA Primary

Addresses

Primary practice location

3402 Magnolia CV
Monroe, LA 71203-2374

Mailing address

PO Box 4083
Monroe, LA 71211-4083
Phone (318) 388-5830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000746 LA Part B Supplier - Clinic/Group Practice 7012981368 Receives reassigned benefits from 7 practitioners
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory
Tax ID family
Arthritis Clinic Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3402 Magnolia Cv
Monroe, LA 71203
Phone (318) 388-5380

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1447378617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4083",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114083",
            "telephone_number": "318-388-5830",
            "fax_number": "318-322-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 MAGNOLIA CV",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032374",
            "telephone_number": "318-388-5830",
            "fax_number": "318-322-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARTHRITIS AND DIABETES CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "RANGARAJ",
        "authorized_official_first_name": "MADURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-388-5830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD. 05877R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.