NPIMap

Organization Active NPI

Lsumc-S Family Practice Medical Center in Alexandria

Doing business as LSUHSC-S Family Medicine Residency Program

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1942889852
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LSUMC-S FAMILY PRACTICE MEDICAL CENTER IN ALEXANDRIA
Doing business as
LSUHSC-S Family Medicine Residency Program
Practice address
301 4TH St Ste a
Alexandria, LA 71301-8411
Phone
(318) 441-1030
Fax
(318) 441-1050
NPI assigned
Apr 7, 2021
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Leisa P Oglesby
Title
Executive Dir for Medical Services
Phone
(318) 675-7629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

301 4TH St Ste a
Alexandria, LA 71301-8411

Mailing address

PO Box 735328
Dallas, TX 75373-5328
Phone (318) 441-1030

Other names 1

  • LSUHSC-S Family Medicine Residency Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lsuhsc-S Family Medicine Residency Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1942889852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735328",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753735328",
            "telephone_number": "318-441-1030",
            "fax_number": "318-441-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 4TH ST STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018411",
            "telephone_number": "318-441-1030",
            "fax_number": "318-441-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSUMC-S FAMILY PRACTICE MEDICAL CENTER IN ALEXANDRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "LEISA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIR FOR MEDICAL SERVICES",
        "authorized_official_telephone_number": "318-675-7629"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSUHSC-S Family Medicine Residency Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.