University of Louisiana Monroe

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

120530 Issued in LA

Legal business name

UNIVERSITY OF LOUISIANA MONROE

Doing business as

ULM

Practice address

4604 Lincoln Park Ave
Monroe, LA 71202-5919

Phone

(318) 324-9450

Fax

(318) 324-9450

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Raymond Wooten Jr., PHD

Title

Program Director

Phone

(318) 361-3003

Specialties & licenses 1

Addresses

Other names 1

• ULM Doing business as

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538375753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 LINCLON PRK AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015919",
            "telephone_number": "318-324-9450",
            "fax_number": "318-324-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 LINCOLN PARK AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712025919",
            "telephone_number": "318-324-9450",
            "fax_number": "318-324-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF LOUISIANA MONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "318-361-3003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "120530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Universal Care LLC
• Universal Care LLC
• Universal Care LLC
• Universal Rehabilitation Center, LLC
• University of Louisiana at Monroe Student Health Services
• University of Louisiana of Monroe
• Dipesh Upreti, M.D.
• Subodh Bhakta Uprety, MD
• Urban Drug Store Inc
• Urban Medical Clinic, Inc.

• Health Maintenance Organization in Monroe, LA
• Providers in Monroe, LA by specialty
• Health Maintenance Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.