Organization Active NPI

Cain Neurosurgery Clinic a Professional Medical Corporation

  • Neurological Surgery Physician
  • Monroe, LA
National Provider Identifier
1649617259
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD.205866 Issued in LA
Legal business name
CAIN NEUROSURGERY CLINIC A PROFESSIONAL MEDICAL CORPORATION
Practice address
212 Walnut St
Suite 110
Monroe, LA 71201-6700
Phone
(318) 323-1809
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Mrs. Jamie Chambless
Title
Office Manager
Phone
(318) 323-1809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X MD.205866 LA Primary

Addresses

Primary practice location

212 Walnut St
Suite 110
Monroe, LA 71201-6700

Mailing address

212 Walnut St
Suite 110
Monroe, LA 71201-6700
Phone (318) 323-1809

Other identifiers 1

IdentifierTypeStateIssuer
2337041MedicaidLA

National Provider Directory

National Provider Directory

Locations

2485 Tower Dr
Ste 9
Monroe, LA 71201
Phone (318) 600-4159

212 Walnut St
Ste 110
Monroe, LA 71201
Phone (318) 323-1809

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1649617259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016700",
            "telephone_number": "318-323-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016700",
            "telephone_number": "318-323-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAIN NEUROSURGERY CLINIC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBLESS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-323-1809",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "MD.205866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2337041",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.