Minden Physician Practices LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MINDEN PHYSICIAN PRACTICES LLC

Practice address

101 Murrell St
Suite 2
Minden, LA 71055-3410

Phone

(318) 371-1110

Fax

(318) 371-1314

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Jess N Judy

Title

President

Phone

(615) 372-8500

Specialties & licenses 2

Addresses

Other names 1

• Minden Medicine and Nephrology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 9

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

• Minden Physician Practices LLC

  • Foot & Ankle Surgery Podiatrist
  • Minden, LA
  • NPI 1023449212

  O20090930000103

  Same enrollment
• Minden Physician Practices LLC

  • Foot & Ankle Surgery Podiatrist
  • Springhill, LA
  • NPI 1063826808

  O20090930000103

  Same enrollment
• Minden Physician Practices LLC

  • Family Nurse Practitioner
  • Minden, LA
  • NPI 1265777957

  O20090930000103

  Same enrollment
• Minden Physician Practices LLC

  • Obstetrics & Gynecology Physician
  • Minden, LA
  • NPI 1285916254

  O20090930000103

  Same enrollment
• Minden Physician Practices LLC

  • Multi-Specialty Clinic/Center
  • Minden, LA
  • NPI 1497986764

  O20090930000103

  Same enrollment
• Minden Physician Practices LLC

  • Family Medicine Physician
  • Minden, LA
  • NPI 1538432711

  O20090930000103

  Same enrollment
• Minden Physician Practices LLC

  • Rural Health Clinic/Center
  • Minden, LA
  • NPI 1720360795

  O20090930000103

  Same enrollment
• Minden Physician Practices LLC

  • Obstetrics & Gynecology Physician
  • Minden, LA
  • NPI 1821370891

  O20090930000103

  Same enrollment
• Minden Physician Practices, LLC

  • Rural Health Clinic/Center
  • Minden, LA
  • NPI 1699834473

  O20090930000103

  Same enrollment

Locations

Practitioners 1

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

• Gregory Scott Phillips, MD

  • Family Medicine Physician
  • Sibley, LA
  • NPI 1497743413
  NPD

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1962720201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MURRELL ST",
            "address_2": "SUITE 2",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553410",
            "telephone_number": "318-371-1110",
            "fax_number": "318-371-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MURRELL ST",
            "address_2": "SUITE 2",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553410",
            "telephone_number": "318-371-1110",
            "fax_number": "318-371-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minden Medicine and Nephrology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minden Physician Practices LLC
• Minden Physician Practices LLC
• Minden Physician Practices LLC
• Minden Physician Practices LLC
• Minden Physician Practices LLC
• Minden Physician Practices, LLC
• Angela Moody
• Mali Moore
• Shatoria Moore
• Christy Leann Morales, PHARMD

• All providers in Minden, LA
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.