Mid Louisiana Surgical Specialists

Primary specialty

SpecialistTaxonomy code 174400000X

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

Organization subpart

No

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

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

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

• Darryl J Aguilar, MD

  • Surgery Physician
  • Alexandria, LA
  • NPI 1265431597
  Medicare reassignment Care Compare group NPD
• Jay O Book, NP

  • Nurse Practitioner
  • Alexandria, LA
  • NPI 1154095354
  Medicare reassignment Care Compare group NPD
• Philip A Cole II, MD

  • Surgery Physician
  • Alexandria, LA
  • NPI 1225249105
  Medicare reassignment Care Compare group NPD
• James N Parrish Jr., MD

  • Surgery Physician
  • Alexandria, LA
  • NPI 1477552503
  Medicare reassignment Care Compare group NPD
• Stephen Christopher Wheelis, MD

  • Surgery Physician
  • Alexandria, LA
  • NPI 1174010318
  Medicare reassignment Care Compare group NPD
• Hascal Bossier Blalock, PA-C

  • Physician Assistant
  • Alexandria, LA
  • NPI 1427417765
  Medicare reassignment Care Compare group
• Sarah Jean Griffin, P.A.

  • Medical Physician Assistant
  • Alexandria, LA
  • NPI 1396093837
  Medicare reassignment Care Compare group
• Michael J Hebert, PA-C

  • Physician Assistant
  • Benton, LA
  • NPI 1932313038
  Medicare reassignment Care Compare group
• Jamie Marie Wallace, P.A.

  • Surgical Physician Assistant
  • Alexandria, LA
  • NPI 1255523346
  Medicare reassignment Care Compare group
• Charles Mercer, APRN, FNP-C

  • Family Nurse Practitioner
  • Alexandria, LA
  • NPI 1760724124
  Medicare reassignment NPD
• Robert Scott York, M.D.

  • Surgery Physician
  • Alexandria, LA
  • NPI 1215057740
  Medicare reassignment NPD
• Zachary Michael Gauthier, PA-C

  • Surgical Physician Assistant
  • Alexandria, LA
  • NPI 1275251910
  Medicare reassignment

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK8221",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444545",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "G4276",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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

• Specialist in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Specialist in Louisiana

• 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.

Verify at the official NPI Registry.