Active NPI
Mid Louisiana Surgical Specialists
- Specialist
- Alexandria, LA
National Provider Identifier
1477580637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MID LOUISIANA SURGICAL SPECIALISTS
- Practice address
- 3311 Prescott Rd Ste 201
Alexandria, LA 71301-3983 - Phone
- (318) 442-6767
- Fax
- (318) 441-1359
- NPI assigned
- Jun 26, 2006
- Last updated
- Aug 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maleana Holden
- Title
- Administrator
- Phone
- (318) 442-6767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | LA | Primary |
Addresses
Primary practice location
3311 Prescott Rd Ste 201
Alexandria, LA 71301-3983
Mailing address
3311 Prescott Rd Ste 201
Alexandria, LA 71301-3983
Phone (318) 442-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1011157 | Mid Louisiana Surgical Specialists | Certificate of waiver | Apr 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
3311 Prescott Rd
Ste 201
Alexandria, LA 71301
Phone (318) 442-6767
Practitioners & affiliated clinicians
Practitioners 17
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.
-
- Surgery Physician
- Alexandria, LA
- NPI 1265431597
-
- Nurse Practitioner
- Alexandria, LA
- NPI 1154095354
-
- Surgery Physician
- Alexandria, LA
- NPI 1225249105
-
- Surgery Physician
- Alexandria, LA
- NPI 1477552503
-
- Surgery Physician
- Alexandria, LA
- NPI 1174010318
-
- Physician Assistant
- Alexandria, LA
- NPI 1427417765
-
- Medical Physician Assistant
- Alexandria, LA
- NPI 1396093837
-
- Physician Assistant
- Benton, LA
- NPI 1932313038
-
- Surgical Physician Assistant
- Alexandria, LA
- NPI 1255523346
-
- Family Nurse Practitioner
- Alexandria, LA
- NPI 1760724124
-
- Surgery Physician
- Alexandria, LA
- NPI 1215057740
-
- Surgical Physician Assistant
- Alexandria, LA
- NPI 1275251910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660867200000",
"number": "1477580637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD STE 201",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013983",
"telephone_number": "318-442-6767",
"fax_number": "318-441-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD STE 201",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013983",
"telephone_number": "318-442-6767",
"fax_number": "318-441-1359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID LOUISIANA SURGICAL SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A",
"authorized_official_last_name": "HOLDEN",
"authorized_official_first_name": "MALEANA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "318-442-6767"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
- Meyer Kaplan, MD, Apmc
- Matthew J Meynard, CRNA
- Michael Dole MD, a Professional Medical Corp.
- Jeremy James Michot, LOTR
- Megan Mickel
- Mid State Orthopaedic & Sports Medicine Center, LLC
- Mid State Orthopaedic Urgent Care, LLC
- Mid State Orthopaedics & Sports Medicine Center LLC
- Mid State Surgical Center, LLC
- Mid- State Home Health Agency Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.