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CENLA FAMILY MEDICINE ASSOCIATES LLC NPI 1538397542


NPI Information

NPI: 1538397542
Provider Name: CENLA FAMILY MEDICINE ASSOCIATES, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 19D0866304

Address:
1587 N BOLTON AVE
SUITE 1100
ALEXANDRIA, LA
ZIP 71303
Phone: (318) 445-9823
Get Directions

CENLA FAMILY MEDICINE ASSOCIATES, LLC is a family medicine in Alexandria, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENLA FAMILY MEDICINE ASSOCIATES, LLC NPI is 1538397542. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1587 N BOLTON AVE
SUITE 1100
ALEXANDRIA, LA
ZIP 71303-217
Phone: (318) 445-9823
Fax: (318) 445-1509

The provider's authorized official is Michael J Screpetis .
The authorized official title is Designated Registered Agent and has the following contact phone number (318) 445-9823.

The CLIA number assigned to this NPI record is 19D0866304 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/29/2009 and was last updated on 2/13/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine018528LOUISIANAYes
2207Q00000XFamily Medicine018963LOUISIANANo
3207Q00000XFamily Medicine015029LOUISIANANo
4207R00000XInternal Medicine024254LOUISIANANo
5207RC0000XInternal MedicineCardiovascular Disease019187LOUISIANANo
6207RC0000XInternal MedicineCardiovascular Disease303310LOUISIANANo
7213E00000XPodiatristPD20512LOUISIANANo
8213E00000XPodiatrist200010LOUISIANANo
9363L00000XNurse PractitionerAP01177LOUISIANANo
10363L00000XNurse PractitionerAP06478LOUISIANANo
11363L00000XNurse PractitionerAP0338LOUISIANANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15DW84MEDICARE PIN
21810886MEDICAIDLOUISIANA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.