| Minden Physician Practices Llc | |
|
1 Medical Plaza Pl Minden LA 71055-3330 | |
| (318) 377-2321 | |
| Not Available |
| Full Name | Minden Physician Practices Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Medical Plaza Pl, Minden, Louisiana |
| Authorized Official Name and Position | Shannon Dawn Brown (DIRECTOR) |
| Authorized Official Contact | 3183827296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Physician Practices Llc 346 Homer Rd Minden LA 71055-2834 Ph: (318) 226-8202 | Minden Physician Practices Llc 1 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-2321 |
| NPI Number | 1497986764 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 4789720004 |
|---|---|
| Medicare Enrollment ID | O20090930000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497986764 | NPI | - | NPPES |
| 2158180 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Albert M Aura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821033119 PECOS PAC ID: 9638082043 Enrollment ID: I20031111000727 |
| Provider Name | Shannon D Spigener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669441671 PECOS PAC ID: 4082679311 Enrollment ID: I20041129000011 |
| Provider Name | Gregory S Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497743413 PECOS PAC ID: 6800705443 Enrollment ID: I20041201000619 |
| Provider Name | Vincent B. Lococo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093745648 PECOS PAC ID: 3173435955 Enrollment ID: I20050125000944 |
| Provider Name | Robert R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487610879 PECOS PAC ID: 6204888720 Enrollment ID: I20050214000101 |
| Provider Name | Michael S Chanler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336136407 PECOS PAC ID: 1658317839 Enrollment ID: I20050629000105 |
| Provider Name | Gerald M Stell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134167877 PECOS PAC ID: 4082650163 Enrollment ID: I20050629000140 |
| Provider Name | Jodi Anne Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831263490 PECOS PAC ID: 6103848346 Enrollment ID: I20051230000497 |
| Provider Name | Wilma L Maynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982660627 PECOS PAC ID: 0941214647 Enrollment ID: I20060202000105 |
| Provider Name | Regina S Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306904412 PECOS PAC ID: 0143221002 Enrollment ID: I20070122000083 |
| Provider Name | Carol S Twyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073579314 PECOS PAC ID: 5496859027 Enrollment ID: I20070409000357 |
| Provider Name | Armand C Grimshaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235119405 PECOS PAC ID: 7719088780 Enrollment ID: I20070808000060 |
| Provider Name | Sedo E Tamakloe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386652006 PECOS PAC ID: 4284639634 Enrollment ID: I20080117000101 |
| Provider Name | Russell Burlison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073517975 PECOS PAC ID: 5193807766 Enrollment ID: I20080205000222 |
| Provider Name | Martina Abena Tamakloe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396770566 PECOS PAC ID: 3678586054 Enrollment ID: I20080402000097 |
| Provider Name | Jennifer R Mccann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083816854 PECOS PAC ID: 5294887972 Enrollment ID: I20090709000624 |
| Provider Name | Lillian Leigh B Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306092937 PECOS PAC ID: 3173662889 Enrollment ID: I20091209000041 |
| Provider Name | Edward Mariano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891765699 PECOS PAC ID: 6507946134 Enrollment ID: I20100206000167 |
| Provider Name | Sheila Mariano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104896919 PECOS PAC ID: 7416037049 Enrollment ID: I20100211000319 |
| Provider Name | Carlos A Irizarry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104971126 PECOS PAC ID: 6901945617 Enrollment ID: I20100414001003 |
| Provider Name | Carl H Hines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740258102 PECOS PAC ID: 4981694940 Enrollment ID: I20100916000290 |
| Provider Name | Aaron Marquardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538349733 PECOS PAC ID: 7315129038 Enrollment ID: I20110316000598 |
| Provider Name | Kirit S. Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477512309 PECOS PAC ID: 7416131503 Enrollment ID: I20110414000362 |
| Provider Name | James Lawrence Gates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184603052 PECOS PAC ID: 7618948928 Enrollment ID: I20110816000358 |
| Provider Name | Jennifer C Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447409420 PECOS PAC ID: 0143491324 Enrollment ID: I20110920000200 |
| Provider Name | Robert Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386671543 PECOS PAC ID: 3779585898 Enrollment ID: I20111025000428 |
| Provider Name | Glen Lee Watkins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124023874 PECOS PAC ID: 7911949110 Enrollment ID: I20120112000833 |
| Provider Name | Savannah T Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285996306 PECOS PAC ID: 1557527793 Enrollment ID: I20120716000570 |
| Provider Name | Robert Todd Rickman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417168782 PECOS PAC ID: 0042476418 Enrollment ID: I20120730000646 |
| Provider Name | Kishore K Malireddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699988949 PECOS PAC ID: 8022231034 Enrollment ID: I20140520001883 |
| Provider Name | Tara Lynn Morse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891019550 PECOS PAC ID: 1153645056 Enrollment ID: I20150126000757 |
| Provider Name | Kamal A Masri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134418437 PECOS PAC ID: 8022232305 Enrollment ID: I20150129001319 |
| Provider Name | Mark D Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235399163 PECOS PAC ID: 6002120961 Enrollment ID: I20150805008425 |
| Provider Name | Nina Fertitta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285907907 PECOS PAC ID: 8123335239 Enrollment ID: I20150922000190 |
| Provider Name | Kevin M Langlois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184997264 PECOS PAC ID: 6204145261 Enrollment ID: I20151014002501 |
| Provider Name | Hector David Gallego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568720779 PECOS PAC ID: 1759601842 Enrollment ID: I20151214000224 |
| Provider Name | Ramee M Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841674074 PECOS PAC ID: 7315248036 Enrollment ID: I20151222000332 |
| Provider Name | Erin K Cassiere |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700048980 PECOS PAC ID: 4082863519 Enrollment ID: I20160108000216 |
| Provider Name | Adam S Mossallati |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447517974 PECOS PAC ID: 0345548574 Enrollment ID: I20160622001074 |
| Provider Name | Stavan Y Patel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558688309 PECOS PAC ID: 6507161817 Enrollment ID: I20160721001012 |
| Provider Name | Misti Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073069589 PECOS PAC ID: 4880973841 Enrollment ID: I20161115000184 |
| Provider Name | Daniel E Longino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144779091 PECOS PAC ID: 9032498589 Enrollment ID: I20161128001145 |
| Provider Name | Pallavi D Shirsat |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679885362 PECOS PAC ID: 4688979917 Enrollment ID: I20161219000290 |
| Provider Name | Ravali Tarigopula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285802892 PECOS PAC ID: 0547427346 Enrollment ID: I20180827000633 |
| Provider Name | Kapil Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912177882 PECOS PAC ID: 2961671912 Enrollment ID: I20181015003347 |
| Provider Name | Magdy Hanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477993103 PECOS PAC ID: 9436445525 Enrollment ID: I20190916002896 |
| Provider Name | Daniel I Piotter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225490600 PECOS PAC ID: 6103112313 Enrollment ID: I20191112003226 |
| Provider Name | Christina Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962714196 PECOS PAC ID: 5698907335 Enrollment ID: I20200117000223 |
| Provider Name | Melinda Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427113588 PECOS PAC ID: 7214192913 Enrollment ID: I20200504001743 |
| Provider Name | Kaleigh Marie Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336764604 PECOS PAC ID: 4486077591 Enrollment ID: I20200708001950 |
| Provider Name | Andreka D Winston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700398005 PECOS PAC ID: 0547684102 Enrollment ID: I20200716000732 |
| Provider Name | Molly Turner Skains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376131409 PECOS PAC ID: 8921413048 Enrollment ID: I20210222003016 |
| Provider Name | Phuoc Van Bui |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023547957 PECOS PAC ID: 4587085840 Enrollment ID: I20210312000496 |
| Provider Name | Olakunle F Oguntodu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477083798 PECOS PAC ID: 7517237043 Enrollment ID: I20210409001440 |
| Provider Name | Danielle Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255837894 PECOS PAC ID: 6002166881 Enrollment ID: I20210726001768 |
| Provider Name | Jessica E Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174084396 PECOS PAC ID: 7416287446 Enrollment ID: I20220223000589 |
| Provider Name | Taylor Nicole Pepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154965705 PECOS PAC ID: 5597159095 Enrollment ID: I20220228000298 |
| Provider Name | Kristin U Mosley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134784135 PECOS PAC ID: 1759763048 Enrollment ID: I20220803001188 |
| Provider Name | Melanie Y Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902537947 PECOS PAC ID: 6709260243 Enrollment ID: I20220831003174 |
| Provider Name | Nancy E Bass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811922016 PECOS PAC ID: 1951359975 Enrollment ID: I20230524000472 |
| Provider Name | Lemuel G Villanueva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336107978 PECOS PAC ID: 1153499967 Enrollment ID: I20230703001159 |
| Provider Name | Sarah M Mcneill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043839962 PECOS PAC ID: 3476917964 Enrollment ID: I20230918000784 |
| Provider Name | Caroline Rozier Whisenhunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871264069 PECOS PAC ID: 9537550330 Enrollment ID: I20231104000445 |
Lemlo Medical Corporation, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Homer Rd, Minden, LA 71055 Phone: 318-382-1976 Fax: 318-377-9869 | |
Minden Internal Medicine & Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Office Park Dr, Minden, LA 71055 Phone: 318-377-2979 Fax: 318-377-2596 | |
Minden Ladies Rural Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 Homer Rd, Minden, LA 71055 Phone: 318-377-8855 Fax: 318-377-8804 | |
Cordova Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-6500 Fax: 318-377-6503 | |
Minden Family Care Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 Morris Dr, Minden, LA 71055 Phone: 318-377-8260 Fax: 318-377-9053 | |
David Raines Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 Homer Rd, Minden, LA 71055 Phone: 318-377-1545 Fax: 318-377-1504 | |
Workfit Industrial Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Monroe St, Ste B, Minden, LA 71055 Phone: 318-382-4900 |