Organization Active NPI

Ouachita Neurosurgery Center a Medical Corporation

  • Specialist
  • Monroe, LA
National Provider Identifier
1992828123
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021731 Issued in LA
Legal business name
OUACHITA NEUROSURGERY CENTER A MEDICAL CORPORATION
Practice address
212 Walnut St
Suite 110
Monroe, LA 71201-6700
Phone
(318) 323-1809
Fax
(318) 323-2668
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Dr. Bernie G. McHugh Jr., M. D.NPI 1699797571
Title
Physician
Phone
(318) 323-1809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 021731 LA Primary

Addresses

Primary practice location

212 Walnut St
Suite 110
Monroe, LA 71201-6700

Mailing address

212 Walnut St
Suite 110
Monroe, LA 71201-6700
Phone (318) 323-1809

Other identifiers 1

IdentifierTypeStateIssuer
1429112MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000752 LA Part B Supplier - Clinic/Group Practice 1254227945 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1992828123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016700",
            "telephone_number": "318-323-1809",
            "fax_number": "318-323-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016700",
            "telephone_number": "318-323-1809",
            "fax_number": "318-323-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUACHITA NEUROSURGERY CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-323-1809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "021731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1429112",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.