University of Louisiana of Monroe

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY OF LOUISIANA OF MONROE

Doing business as

ULM Sports medicine

Practice address

308 Warhawk Way
Monroe, LA 71209-0001

Phone

(318) 342-5391

Fax

(972) 367-3451

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Mouzon Bass III

Title

Agent

Phone

(800) 555-9073

Specialties & licenses 2

Addresses

Other names 1

• ULM Sports medicine Doing business as

Tax ID family

Ulm Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• University of Louisiana at Monroe Student Health Services

  dba University of Louisiana at Monroe

  • Administrator Registered Nurse
  • Monroe, LA
  • NPI 1992879845
  NPD tax ID

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1568851962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WARHAWK WAY",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712090001",
            "telephone_number": "318-342-5391",
            "fax_number": "972-367-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF LOUISIANA OF MONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "18005559073",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULM Sports medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Universal Care LLC
• Universal Care LLC
• Universal Rehabilitation Center, LLC (Universal Rehabilitation Center)
• University of Louisiana at Monroe Student Health Services (University of Louisiana at Monroe)
• University of Louisiana Monroe (Ulm)
• Dipesh Upreti, M.D.
• Subodh Bhakta Uprety, MD
• Urban Drug Store Inc
• Urban Medical Clinic, Inc.
• Urology Clinic of Northeast Louisiana - a Medical Corporation (Urology Clinic)

• Family Medicine Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.