Orthopaedic and Sports Medicine Specialist

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ORTHOPAEDIC AND SPORTS MEDICINE SPECIALIST

Practice address

224 Pecan Park Ave
Alexandria, LA 71303-3308

Phone

(318) 443-9191

Fax

(318) 443-4144

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By 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. Tracy L Rada

Title

Billing Supervisor

Phone

(318) 443-9191

Specialties & licenses 1

Addresses

Locations

Practitioners 16

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.

• James D Altazan, P.A.C.

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1518987064
  NPD (past)
• Mark A Carbo, PA-C

  • Physician Assistant
  • Alexandria, LA
  • NPI 1508889312
  NPD (past)
• Paul E Fenn Jr., M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Lafayette, LA
  • NPI 1720006687
  NPD (past)
• Jeffrey L Garrison, M.D.

  • Orthopaedic Surgery Physician
  • Alexandria, LA
  • NPI 1104849009

  Sports Medicine

  NPD (past)
• Tiffany R Hayes, PA-C

  • Physical Therapist
  • Alexandria, LA
  • NPI 1538137906
  NPD (past)
• Charles M Johnson Jr., PA-C

  • Physician Assistant
  • Carencro, LA
  • NPI 1114940087
  NPD (past)
• Diego A Miranda, MD

  • Orthopaedic Hand Surgery Physician
  • Bossier City, LA
  • NPI 1104845080
  NPD (past)
• Daniel R Oas, D.O.

  • Orthopaedic Surgery Physician
  • Alexandria, LA
  • NPI 1093782443
  NPD (past)
• Robert C Smith, MD

  • Surgery Physician
  • Alexandria, LA
  • NPI 1962553560
  NPD (past)
• Agnes A Solon, MD

  • Rheumatology Physician
  • Alexandria, LA
  • NPI 1558362004
  NPD (past)
• Krista Blanchard, MPAS, PA-C

  • Surgical Physician Assistant
  • Kansas City, MO
  • NPI 1528112729
  NPD (past)
• Lea Marie Campbell, PT

  • Geriatric Physical Therapist
  • Ocean Springs, MS
  • NPI 1336496363
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861593436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033308",
            "telephone_number": "318-443-9191",
            "fax_number": "318-443-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033308",
            "telephone_number": "318-443-9191",
            "fax_number": "318-443-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC AND SPORTS MEDICINE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "318-443-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One in a Millie HCS, LLC
• One Source Diagnostic Testing
• Oph Lsu Health Sciences Region 6
• Jean Marie Ordoyne, LCSW
• Goddy E Orgor
• Orthopaedic and Sports Medicine Specialist (Active Orthopaedic Supplies)
• Jennifer S Osborne, ACNPC-AG
• Gene Chibuchim Otuonye, MD
• Bailey Dannielle Owen
• Katie Owen, PHARMD

• Sports Medicine (Orthopaedic Surgery) Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Louisiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.