NPIMap

Organization Active NPI

Louisiana Pain Care, LLC

  • Durable Medical Equipment & Medical Supplies
  • Monroe, LA
National Provider Identifier
1699828574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOUISIANA PAIN CARE, LLC
Practice address
210 Layton Ave
Suite 20
Monroe, LA 71201-8548
Phone
(318) 323-6405
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chase Soong
Title
Administrator
Phone
(318) 323-6405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

210 Layton Ave
Suite 20
Monroe, LA 71201-8548

Mailing address

210 Layton Ave
Suite 20
Monroe, LA 71201-8548
Phone (318) 323-6405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930062297 LA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9032015607 Practice locations: Monroe, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Pain Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

210 Layton Ave
Ste 20
Monroe, LA 71201
Phone (318) 323-6405

312 Grammont St
Ste 405
Monroe, LA 71201
Phone (318) 323-6405

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699828574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LAYTON AVE",
            "address_2": "SUITE 20",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018548",
            "telephone_number": "318-323-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAYTON AVE",
            "address_2": "SUITE 20",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018548",
            "telephone_number": "318-323-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PAIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOONG",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-323-6405"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.