Organization Active NPI

Outpatient Physician Practice No 5

  • Neurology with Special Qualifications in Child Neurology Physician
  • Monroe, LA
National Provider Identifier
1477888774
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
OUTPATIENT PHYSICIAN PRACTICE NO 5
Practice address
500 Hall St
Monroe, LA 71201-7531
Phone
(318) 966-7337
NPI assigned
Oct 5, 2009
Last updated
Feb 9, 2010By 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 Feb 9, 2010

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

Authorized official

Name
Ronald Hogan
Title
Sr VP & Cfo
Phone
(318) 966-7369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU Primary

Addresses

Primary practice location

500 Hall St
Monroe, LA 71201-7531

Mailing address

PO Box 3249
Monroe, LA 71210-3249
Phone (318) 396-2715

National Provider Directory

National Provider Directory
Part of
St Francis Medical Ctr

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

500 Hall St
Monroe, LA 71201
Phone (318) 323-8847

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1477888774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3249",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712103249",
            "telephone_number": "318-396-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HALL ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017531",
            "telephone_number": "318-966-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PHYSICIAN PRACTICE NO 5",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS MEDICAL CENTER INC",
        "enumeration_date": "2009-10-05",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SR VP & CFO",
        "authorized_official_telephone_number": "318-966-7369"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "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 Feb 9, 2010; 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.