Lsumc-S Family Practice Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LSUMC-S FAMILY PRACTICE MEDICAL

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

Oct 23, 2006

Last updated

Apr 7, 2021By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• LSUHSC-S Family Medicine Residency Program Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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.

• Lsumc-S Family Practice Medical Center in Alexandria

  dba LSUHSC-S Family Medicine Residency Program

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1942889852
  NPD tax ID

Locations

Practitioners 23

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.

• Logan Matthew Atkins, MD

  • Family Medicine Physician
  • Winnsboro, LA
  • NPI 1043577984
  Medicare reassignment Care Compare group NPD
• Praveen Budde, MD

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1679808638
  Medicare reassignment Care Compare group NPD
• Robert Campbell, MD

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1780145748
  Medicare reassignment Care Compare group NPD
• John Derek Johnson, MD

  • Family Medicine Physician
  • Jena, LA
  • NPI 1619234945
  Medicare reassignment Care Compare group NPD
• Robert Larimer, M.D.

  • Pulmonary Disease Physician
  • Alexandria, LA
  • NPI 1023052024

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Micah M. Pippin, MD

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1235572678
  Medicare reassignment Care Compare group NPD
• Sanjay Shrestha, MD

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1659924389
  Medicare reassignment Care Compare group NPD
• Clois Darien Slaughter, M.D.

  • Family Medicine Physician
  • Lecompte, LA
  • NPI 1184627838
  Medicare reassignment Care Compare group NPD
• Dana C Mays, MD

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1831370154
  Medicare reassignment Care Compare group
• Naina Bouchereau-Lal, MD

  • Sports Medicine (Family Medicine) Physician
  • Shreveport, LA
  • NPI 1457889602
  Medicare reassignment NPD
• Roxanne Boyd, M.D.

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1801281191
  Medicare reassignment NPD
• Brian Lane Elkins, MD

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1366452807
  Medicare reassignment NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1992888101",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "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"
        },
        {
            "organization_name": "LSUHSC-S Family Medicine Residency Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Sue Lowentritt, FNP
• Leo L Lowentritt, MD
• Alexandra Kay Loy, PA
• Loyal Hands Concierge Services LLC (Loyal Diagnostic Services)
• Aimee Renee Loyd
• Lsumc-S Family Practice Medical Center in Alexandria (LSUHSC-S Family Medicine Residency Program)
• Andrea Kalene Lucas
• Frances Elaine Lucas, RN
• Erotica Patrice Luckett
• Heather Adalynne Luper, FNP-C

• Family Medicine Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Family Medicine Physician in Louisiana

• 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.
• 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.