Mid State Orthopaedics & Sports Medicine Center LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

9317843 Issued in LA

Legal business name

MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC

Practice address

134 East Fifth Street
Natchitoches, LA 71457

Phone

(318) 473-9556

Fax

(318) 484-6032

NPI assigned

Sep 7, 2016

Last updated

Apr 26, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLCAs reported in NPPES

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

Authorized official

Name

Mark Dodson, M.D.NPI 1487628236

Title

President

Phone

(318) 473-9556

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Mid South Orthopaedic

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Andrew Dodson, MD

  • Orthopaedic Hand Surgery Physician
  • Alexandria, LA
  • NPI 1487628236
  Authorized official Same address or phone

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1629525753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-473-9556",
            "fax_number": "318-484-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EAST FIFTH STREET",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "71457",
            "telephone_number": "318-473-9556",
            "fax_number": "318-484-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-473-9556",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "9317843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0570570001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1946320",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ted Methvin, DDS
• Metropolitan Circles, LLC
• Becky Meziere
• Karen Miller, PHARMACIST
• Mary Margaret Miller
• Nicholas Miller
• Chad Joseph Misuraca, RPH
• Lauren Peters Mitchell, PHYSICAL THERAPY

• Orthopaedic Surgery Physician in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.