Bossier Surgical Associates Apmc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BOSSIER SURGICAL ASSOCIATES APMC

Practice address

2400 Hospital Dr
Ste. 250
Bossier City, LA 71111-2385

Phone

(318) 746-4460

Fax

(318) 746-3389

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael A. Banda, M.D.NPI 1528064078

Title

President

Phone

(318) 746-4460

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Michael A Banda, M.D.

  • Surgery Physician
  • Bossier City, LA
  • NPI 1528064078

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1659469799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "STE. 250",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-746-4460",
            "fax_number": "318-746-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "STE. 250",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-746-4460",
            "fax_number": "318-746-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSIER SURGICAL ASSOCIATES APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BANDA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-746-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035289",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bossier Parish School Board
• Bossier Riverview LLC
• Bossier SCC LLC
• Bossier Specialty Hospital ,LLC
• Bossier Specialty Hospital LLC
• La Tisha P. Bowie, PHARM D
• Jonathan Bowling
• Bowman Family Medicine Clinic, LLC
• Corine H. Bowman, MD
• Willie Bowman, COOK

• Surgery Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Surgery Physician in Louisiana

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