Michael W Archie, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

019190 Issued in LA

Practice address

711 Wood St
Ste a
Monroe, LA 71201-7549

Phone

(318) 323-8847

Fax

(318) 327-3410

NPI assigned

Jan 25, 2006

Last updated

Dec 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1871563353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WOOD ST",
            "address_2": "STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017549",
            "telephone_number": "318-323-8847",
            "fax_number": "318-327-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WOOD ST",
            "address_2": "STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017549",
            "telephone_number": "318-323-8847",
            "fax_number": "318-327-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIE",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "019190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1373745",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.