Northern Louisiana Emergency Physicians LLP
Organization Active NPI Emergency Medicine Physician · Winnfield, LA
NPI 1497085690 · NPPES record last updated Mar 16, 2010
Key facts
- NPI
- 1497085690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- NORTHERN LOUISIANA EMERGENCY PHYSICIANS LLP
- Practice address
- 301 West Boundary Street
Winnfield, LA 71483-0152 - Phone
- (318) 648-3000
- NPI assigned
- Jan 11, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Derik K King
- Title
- LLP Managing Partner
- Phone
- (866) 916-5259
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 112
-
Derik K King, M.D., FACEP
-
Alyce R. Adams, M.D.,CDE
-
Angela Rene Adams, M.D.
-
Cherinet Siraw Adgeh, M.D.
-
Jason Lee Batten, FNP-C
-
James Michael Belue, M.D.
-
Shannon Gammill Berry, M.D.
-
Cody Blackwelder, MD
-
Mark Edward Boersma, M.D.
-
Robert Ray Brown, FNP-C
-
Beau Michael Burton, FNP-C
-
Bobby Darrell Chelette, PMHNP-BC AND FNP-BC
-
Barbara L. Cohn, M.D.
-
Wonestta Annette Collins, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090903000029 | LA | Part B Supplier - Clinic/Group Practice | 9638246846 |
Receives reassigned benefits from 42 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ruston, LA |
National Provider Directory
- Tax ID family
- Northern Louisiana Emergency Physicians LLP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | LA | Yes |
Addresses
Primary practice location
301 West Boundary Street
Winnfield, LA 71483-0152
Mailing address
PO Box 60239
Fort Myers, FL 33906-6239
Phone (866) 916-5259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1819875 | Medicaid | LA |
Other names
- Northern Louisiana Physicians LLP
Other providers in Winnfield, LA
- Mid State Orthopaedic & Sports Medicine Center LLC
- Deanna Moller
- Moss Home Health, Inc
- Venus Renae Nears
- Nes Central Louisiana, Inc.
- Melissa Aaron Nugent
- Charles Jeffery Parker Sr.
- Henry L Payne
- Crystal Pennington
- Shane Louis Pennison
All providers in Winnfield, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.