Desoto Physicians & Surgeons Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

025688 Issued in LA

Legal business name

DESOTO PHYSICIANS & SURGEONS CLINIC

Practice address

119 Jefferson St
Mansfield, LA 71052-2601

Phone

(318) 872-5810

Fax

(318) 872-2763

NPI assigned

Mar 15, 2007

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy L Kennedy

Title

Director of Clinics Phys SRCS

Phone

(318) 872-4610

Specialties & licenses 1

Addresses

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.

• Douglas Clayton Sawyer, MD

  • General Practice Physician
  • Mansfield, LA
  • NPI 1376577304

  Surgery

  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1649304122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 JEFFERSON ST",
            "address_2": "PO BOX 739",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522601",
            "telephone_number": "318-872-5810",
            "fax_number": "318-872-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522601",
            "telephone_number": "318-872-5810",
            "fax_number": "318-872-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO PHYSICIANS & SURGEONS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICS PHYS SRCS",
        "authorized_official_telephone_number": "318-872-4610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "025688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desoto Hospital Association (DeSoto Regional Family Medicine-Mansfield)
• Desoto Parish Ambulance Service District (DeSoto Parish EMS)
• Desoto Parish Public School System
• Desoto Parish School Board
• Desoto Parish School Sytem
• Desoto Regional Family Medicine (DeSoto Regional Family Medicine - Mansfield)
• Desoto Retirement & Rehab Center, LLC (DeSoto Retirement & Rehab Center, Inc.)
• Stacey Leanne Dillard
• Anne Dorsey
• Niccole Dorsey

• Surgery Physician in Mansfield, LA
• Providers in Mansfield, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.