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MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC NPI 1376099010


NPI Information

NPI: 1376099010
Provider Name: MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
5541 HWY 1
MARKSVILLE, LA
ZIP 71351
Phone: (318) 473-9556
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MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC is an orthopaedic surgery in Marksville, LA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC NPI is 1376099010. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5541 HWY 1
MARKSVILLE, LA
ZIP 71351-650
Phone: (318) 473-9556
Fax: (318) 484-6032

The provider's authorized official is Mark Dodson .
The authorized official title is President and has the following contact phone number (318) 473-9556.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 4/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10570570001OTHERLOUISIANAMEDICARE DME
21946320MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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