NPIMap

Organization Active NPI

Affinity Health Group, LLC

Doing business as Affinity Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Monroe, LA
National Provider Identifier
1861879249
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
207626 Issued in LA
Legal business name
AFFINITY HEALTH GROUP, LLC
Doing business as
Affinity Orthopaedic Clinic
Affinity Orthopedic Clinic
Practice address
920 Oliver Rd # L
Monroe, LA 71201-5702
Phone
(318) 807-4956
Fax
(318) 998-4462
NPI assigned
May 5, 2015
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mr. John Kahl
Title
Chief Operating Officer
Phone
(318) 361-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 207626 LA Primary

Addresses

Primary practice location

920 Oliver Rd # L
Monroe, LA 71201-5702

Mailing address

130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875

Other names 2

  • Affinity Orthopaedic Clinic Doing business as
  • Affinity Orthopedic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080411000088 LA Part B Supplier - Clinic/Group Practice 9335226547 Receives reassigned benefits from 165 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, LA; West Monroe, LA; Baton Rouge, LA

Other NPIs on the same Medicare enrollment 31

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

View all 31

National Provider Directory

National Provider Directory

Locations

355 W Hickory Ave
Bastrop, LA 71220
Phone (318) 281-4450

13348 Coursey Blvd
Baton Rouge, LA 70816
Phone (225) 442-7939

1 Bancroft Cir
Monroe, LA 71201
Phone (318) 361-0995

1325 Louisville Ave
Monroe, LA 71201
Phone (318) 807-1500

2516 Broadmoor Blvd
Ste 1A
Monroe, LA 71201

2516 Broadmoor Blvd
Ste 1C
Monroe, LA 71201
Phone (318) 342-1651

2516 Broadmoor Blvd
Ste 3C
Monroe, LA 71201
Phone (318) 807-4743

3116 Kilpatrick Blvd
Monroe, LA 71201
Phone (318) 322-4673

3400 Medical Park Dr
Ste A
Monroe, LA 71203
Phone (318) 322-7744

920 Oliver Rd
#J
Monroe, LA 71201
Phone (318) 361-2136

920 Oliver Rd
#L
Monroe, LA 71201
Phone (318) 361-2161

1070 Jonesboro Rd
West Monroe, LA 71292
Phone (318) 362-2099

Practitioners & affiliated clinicians

Practitioners 179

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 179

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1861879249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017319",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 OLIVER RD # L",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015702",
            "telephone_number": "318-807-4956",
            "fax_number": "318-998-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "KAHL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "318-361-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "207626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Orthopaedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affinity Orthopedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 6, 2024; 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.