NPIMap

Affinity Health Group, LLC

Organization Active NPI Internal Medicine Physician · Monroe, LA

NPI 1922548833 · NPPES record last updated Feb 27, 2017

Key facts

NPI
1922548833
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
AFFINITY HEALTH GROUP, LLC
Practice address
920 Oliver Rd
Monroe, LA 71201-5702
Phone
(318) 807-6267
Fax
(318) 812-6455
NPI assigned
Feb 27, 2017
Organization subpart
No

Authorized official

Name
Janet Justice
Title
Director of Operations
Phone
(318) 807-7875

Other NPIs on the same Medicare enrollment 31

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

View all 31

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

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

National Provider Directory

Tax ID family
Affinity Health Group (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

920 Oliver Rd
Monroe, LA 71201-5702

Mailing address

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

Other names

  • Affinity Population Health Doing business as

Other providers in Monroe, LA

All providers in Monroe, LA · Internal Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.