Louisiana Pain Physicians, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

00203827 Issued in LA

Legal business name

LOUISIANA PAIN PHYSICIANS, LLC

Practice address

1 Medical Plaza PL
Minden, LA 71055-3330

Phone

(318) 861-1260

Fax

(318) 861-1325

NPI assigned

May 22, 2007

Last updated

Oct 12, 2007By 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 M Smith

Title

Chief Financial Officer

Phone

(318) 861-1336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Louisiana Pain Physicians, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Shreveport, LA
  • NPI 1083758254

  O20070711000127

  Same enrollment

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1780893040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-861-1260",
            "fax_number": "318-861-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-861-1260",
            "fax_number": "318-861-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PAIN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-861-1336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "00203827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Lindsey
• Megan Litton, CIT
• Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05345)
• Louisiana ENT Associates, LLC
• Louisiana in-Home Partner-I, LLC (Louisiana Home Health)
• Loving You Through It LLC
• Loyes Pharmacy Inc
• Loyes Pharmacy Inc (Loye's Pharmacy)
• Kiatonyia Major
• Kishore K Malireddy, MBBS

• Interventional Pain Medicine Physician in Minden, LA
• Providers in Minden, LA by specialty
• Interventional Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.