NPIMap

Organization Active NPI

R. Mollie a. John, M.D., Apmc

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Monroe, LA
National Provider Identifier
1750447215
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
10383R Issued in LA
Legal business name
R. MOLLIE A. JOHN, M.D., APMC
Practice address
2701 Brierfield Dr
Monroe, LA 71201-3048
Phone
(318) 387-1437
Fax
(318) 322-2685
NPI assigned
Dec 29, 2006
Last updated
Jul 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Dr. R. Mollie A. John, MD.NPI 1942366729
Title
President
Phone
(318) 387-1437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 10383R LA Primary

Addresses

Primary practice location

2701 Brierfield Dr
Monroe, LA 71201-3048

Mailing address

2701 Brierfield Dr
Monroe, LA 71201-3048
Phone (318) 387-1437

Other identifiers 1

IdentifierTypeStateIssuer
1989258MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1750447215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BRIERFIELD DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013048",
            "telephone_number": "318-387-1437",
            "fax_number": "318-322-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BRIERFIELD DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013048",
            "telephone_number": "318-387-1437",
            "fax_number": "318-322-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. MOLLIE A. JOHN, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "R. MOLLIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-387-1437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "LA",
            "license": "10383R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1989258",
            "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 Jul 19, 2010; 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.