Organization Active NPI

Ouachita Medical Clinic LLC

  • Family Medicine Physician
  • West Monroe, LA
National Provider Identifier
1508630252
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OUACHITA MEDICAL CLINIC LLC
Practice address
102 Thomas Rd Ste 104
West Monroe, LA 71291-7365
Phone
(318) 329-4370
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Dr. Steven McMahan, MDNPI 1497799456
Title
Owner
Phone
(318) 237-4531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

102 Thomas Rd Ste 104
West Monroe, LA 71291-7365

Mailing address

3424 Medical Park Dr
Monroe, LA 71203-2354
Phone (318) 478-2136

Other practice location 1

3424 Medical Park Dr
Monroe, LA 71203-2387
Phone (318) 329-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240201000524 LA Part B Supplier - Clinic/Group Practice 6204289622 Receives reassigned benefits from 8 practitioners
Practice locations: Monroe, LA; West Monroe, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2296350Ouachita Medical Clinic3424 Medical Park Drive, Monroe, LA 71203Provider-performed microscopyDec 26, 2027
19D2296353Ouachita Medical Clinic102 Thomas Road Suite 104, West Monroe, LA 71291Provider-performed microscopyDec 26, 2027

National Provider Directory

National Provider Directory

Locations

3424 Medical Park Dr
Monroe, LA 71203
Phone (318) 329-9447

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1508630252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 MEDICAL PARK DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032354",
            "telephone_number": "318-478-2136",
            "fax_number": "318-329-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD STE 104",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917365",
            "telephone_number": "318-329-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3424 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712032387",
            "country_code": "US",
            "telephone_number": "318-329-9447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUACHITA MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-237-4531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.