NPIMap

Organization Active NPI

Emd Telehealth Solutions LLC

Doing business as Emd

  • Adult Medicine Physician
  • Bossier City, LA
National Provider Identifier
1639771124
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
EMD TELEHEALTH SOLUTIONS LLC
Doing business as
Emd
Practice address
1000 Chinaberry Dr Ste 800, 500
Bossier City, LA 71111-2455
Phone
(318) 392-3372
Fax
(318) 392-3373
NPI assigned
Nov 10, 2020
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Mr. Joseph Murray Monsour Jr.
Title
Ceo
Phone
(318) 250-2587

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Adult Medicine Physician 207QA0505X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1000 Chinaberry Dr Ste 800, 500
Bossier City, LA 71111-2455

Mailing address

3800 Viking Drive
Bossier City, LA 71111-3526
Phone (318) 392-3372

Other names 1

  • EMD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201230001438 LA Part B Supplier - Clinic/Group Practice 4082027511 Receives reassigned benefits from 6 practitioners
Practice locations: Bossier City, 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
19D2232821Emd Telehealth Solutions1000 Chinaberry Dr, Suite 800, Bossier City, LA 71111Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABFCD

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1639771124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 VIKING DRIVE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113526",
            "telephone_number": "318-392-3372",
            "fax_number": "318-392-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 800, 500",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112455",
            "telephone_number": "318-392-3372",
            "fax_number": "318-392-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMD TELEHEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "MONSOUR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MURRAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-250-2587",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.