Mid-City Family Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MID-CITY FAMILY CLINIC, LLC

Practice address

838 Margaret PL
Shreveport, LA 71101-4509

Phone

(318) 221-3525

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russell Shane Carr, M.D.NPI 1245205335

Title

Owner/Doctor

Phone

(318) 221-3525

Specialties & licenses 1

Addresses

Practitioners 4

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

• Russell Shane Carr, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1245205335
  NPD (past) Authorized official
• Matthew M Bice, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1720035124
  NPD (past)
• Neil L Halim, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1689623548
  NPD (past)
• Amy Hammons, M.D.

  • Family Medicine Physician
  • Slidell, LA
  • NPI 1376602359
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861671869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710370629",
            "telephone_number": "318-221-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 MARGARET PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014509",
            "telephone_number": "318-221-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CITY FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "318-221-3525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Michals, MD
• Jose Alejandro Michel, MD
• Janet Michels, LCSW
• Chris Alan Miciotto, MSW LCSW ACSW
• Mid City Pediatrics
• Midday Surgical Consultants, LLC
• Eiyana Middleton
• Janice E Middleton, LPC
• Jennifer Michelle Middleton, NP
• Midsouth Medical, Inc.

• Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.