Minden Physician Practices LLC
Organization Active NPI Multi-Specialty Clinic/Center · Minden, LA
NPI 1497986764 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1497986764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- MINDEN PHYSICIAN PRACTICES LLC
- Practice address
- 1 Medical Plaza PL
Minden, LA 71055-3330 - Phone
- (318) 377-2321
- NPI assigned
- Aug 4, 2009
- Organization subpart
- No
Authorized official
- Name
- Shannon Dawn Brown
- Title
- Director
- Phone
- (318) 382-7296
Other NPIs on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 3
Practitioners 96
-
Anand Krishna Bhat, M.D.
-
Robert Ray Brown, FNP-C
-
Lillian Leigh Berry Davis, APRN, FNP-C
-
MD Kabiul Haque, MD
-
Mary Joy Anne Harmon, AGACNP
-
Carl Henry Hines, M.D.
-
Karen Jones, NP-C
-
Wilma Lynette Maynor, FNP-C
-
Gary Menefee, M.D.
-
Lucas Moncla, PA
-
Misti Lelong Morgan, APRN FNP-C
-
Adam Saad Mossallati, M.D.
-
Murshed Nawaz, AGACNP-BC
-
Tushar Pawar, MD
-
Herbert Charles Poarch, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090930000103 | LA | Part B Supplier - Clinic/Group Practice | 4789720004 |
Receives reassigned benefits from 91 practitioners 9 other NPIs on this enrollment Practice locations: Minden, LA; Ringgold, LA; Haughton, LA |
National Provider Directory
Locations
4770 Brandon Blvd
Bossier City, LA 71111
216 W Union St
Minden, LA 71055
Phone (318) 299-6334
427 Homer Rd
Minden, LA 71055
Phone (318) 377-8855
101 Murrell St
Ste 2
Minden, LA 71055
Phone (318) 377-3111
216 W Union St
Ste B
Minden, LA 71055
Phone (318) 371-5600
101 Murrell St
Ste 1
Minden, LA 71055
Phone (318) 371-4052
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1 Medical Plaza PL
Minden, LA 71055-3330
Mailing address
346 Homer Rd
Minden, LA 71055-2834
Phone (318) 226-8202
Other practice location 1
170 Healthcare Plaza Dr.
Haughton, LA 71037
Phone (318) 382-7299
Other practice location 2
102 S Monroe St Ste B
Minden, LA 71055-3357
Phone (318) 382-7290
Other practice location 3
113 E Church Street
Ste 1
Springhill, LA 71075
Phone (318) 377-8855
Other practice location 4
101 Murrell St Ste 1
Minden, LA 71055-3462
Phone (318) 377-5000
Other practice location 5
216 W Union St Ste A
Minden, LA 71055-3208
Phone (318) 299-6334
Other practice location 6
812 Broadway St
Minden, LA 71055-3309
Phone (318) 377-4534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158180 | Medicaid | LA |
Other providers in Minden, LA
- Minden Orthopaedics, Apmc
- Minden Physical Therapy LLC
- Minden Physician Practices LLC
- Minden Physician Practices LLC
- Minden Physician Practices LLC
- Minden Physician Practices LLC
- Minden Physician Practices LLC
- Minden Physician Practices LLC
- Minden Physician Practices LLC
- Minden Physician Practices LLC
All providers in Minden, LA · Multi-Specialty Clinic/Center 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, 2023. 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.