| Joseph R Nida, MD | |
| 
					208 Morris Drive, Minden, LA 71055  | |
| (318) 377-8260 | |
| (318) 377-9053 | 
| Full Name | Joseph R Nida | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 208 Morris Drive, Minden, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942273776 | NPI | - | NPPES | 
| 1053881 | Medicaid | LA | |
| E4940 | Other | AR STATE LICENSE | |
| 30799 | Other | LA CDS | |
| 158643001 | Medicaid | AR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 26100 (Louisiana) | Primary | 
| Entity Name | Minden Family Care Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225002124 PECOS PAC ID: 1456337658 Enrollment ID: O20230508002840  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joseph R Nida, MD 208 Morris Drive, Minden, LA 71055 Ph: (318) 377-8260  | Joseph R Nida, MD 208 Morris Drive, Minden, LA 71055 Ph: (318) 377-8260  | 
Dr. Joseph E Bolger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Office Park Drive, Minden, LA 71055 Phone: 318-377-7118 Fax: 318-377-7392  | |
Mr. Carlos Adriel Irizarry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza, Minden, LA 71055 Phone: 318-377-8400 Fax: 318-377-8641  | |
Dr. John Fleming Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 208 Morris Dr, Minden, LA 71055 Phone: 318-377-8260 Fax: 318-377-9053  | |
Dr. Kathryn Ann Irizarry, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-8400 Fax: 318-377-8641  | |
Michael Scott Chanler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-7134 Fax: 318-377-7098  | |
Dr. Christopher Michael Earnhardt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-7134 Fax: 318-377-7098  | |
Dr. Michael Pistorius, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Morris Dr, Minden, LA 71055 Phone: 318-377-8260 Fax: 318-377-9053  |