Active NPI
Joel W Norris, MD
- Otolaryngology Physician
- Monroe, LA
National Provider Identifier
1922033059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- L015594
- Practice address
- 2516 Broadmoor Blvd
Monroe, LA 71201-2988 - Phone
- (318) 812-1125
- Fax
- (318) 812-1129
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 47219 | CO | |
| Otolaryngology Physician | 207Y00000X | L015594 | LA | Primary |
Addresses
Primary practice location
2516 Broadmoor Blvd
Monroe, LA 71201-2988
Mailing address
130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1338818 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L015594 | LA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Health Group, LLC | Otolaryngology | Current | Accepting new patients |
| Affinity Health Group, LLC | Current | Accepting new patients | |
| Physician Group of Louisiana Inc | Past | Accepting new patients |
Locations
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2516 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-1161
102 Thomas Rd
Ste 202
West Monroe, LA 71291
Phone (318) 329-8458
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1922033059",
"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": "2516 BROADMOOR BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712012988",
"telephone_number": "318-812-1125",
"fax_number": "318-812-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "JOEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "47219",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "L015594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1338818",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
- Nora'S House Adult Day Health Care Center
- Erin Elizabeth Norred, CIT
- Gina Marie Norred, R.D.
- Mary Virginia Norred, RD/LDN
- Ginnylea Tonore Norris, PH.D., LMFT, LPC
- Ashley Cumpton Norsworthy, APRN, FNP-C
- Sharlotte Norsworthy
- North Delta Home Care LLC
- North Delta Human Service Authority
- North Delta Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.