Cenla Urology Clinic LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

L009778 Issued in LA

Legal business name

CENLA UROLOGY CLINIC LLC

Practice address

3311 Prescott Rd Ste 100
Alexandria, LA 71301-3917

Phone

(318) 442-3384

Fax

(318) 442-3385

NPI assigned

Apr 17, 2007

Last updated

Jun 4, 2022By 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

Suzanne Faye Edens

Title

Practice Manager

Phone

(318) 442-3384

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc27777_cenlaurologyclinic
• Direct secure messaging: joshuaholstead@cenlaurology.medalliesdirect.net
• Direct secure messaging: robertfontane@cenlaurology.medalliesdirect.net

Practitioners 6

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.

• Brittani Elizabeth Billingsley, APRN, FNP-C

  • Family Nurse Practitioner
  • Alexandria, LA
  • NPI 1942861158
  Medicare reassignment Care Compare group NPD
• Aaron D Edwards, FNP

  • Family Nurse Practitioner
  • Alexandria, LA
  • NPI 1457902702
  Medicare reassignment Care Compare group NPD
• Robert Lepine Fontane, M.D.

  • Urology Physician
  • Alexandria, LA
  • NPI 1033140637
  Medicare reassignment Care Compare group NPD
• Joshua Holstead, MD

  • Urology Physician
  • Alexandria, LA
  • NPI 1629396460
  Medicare reassignment Care Compare group NPD
• Mariela Sandi, PA-C

  • Physician Assistant
  • Alexandria, LA
  • NPI 1407227556
  Medicare reassignment Care Compare group
• Jamie Marie Wallace, P.A.

  • Surgical Physician Assistant
  • Alexandria, LA
  • NPI 1255523346
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1487879094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-442-3384",
            "fax_number": "318-442-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013917",
            "telephone_number": "318-442-3384",
            "fax_number": "318-442-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENLA UROLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "EDENS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "318-442-3384"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": "L009778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1792101",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cenla Physicians
• Cenla Physicians Wound Care
• Cenla Professional Counseling
• Cenla Psychiatry, LLC
• Cenla Urgent Care LLC
• Cenla Vision Source, LLC (Cenla Vision Source)
• Cenla Wellness Center, LLC.
• Center for Family & Individual Counseling, Inc.
• Central la Human Services District (Caring Choices)
• Central la. Family Health and Wellness Center

• Urology Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Urology Physician in Louisiana

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