Mid State Orthopaedic & Sports Medicine Center Llc in Alexandria - Orthopaedic Surgery
Mid State Orthopaedic & Sports Medicine Center Llc - NPI 1104890052
Mid State Orthopaedic & Sports Medicine Center Llc is a Orthopaedic Surgery in Alexandria, Louisiana. Mid State Orthopaedic & Sports Medicine Center Llc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Mid State Orthopaedic & Sports Medicine Center Llc is 1104890052. The last update date is 2022-07-05.
Mid State Orthopaedic & Sports Medicine Center Llc's current location address is 3444 Masonic Drive, Alexandria, Louisiana. You can contact this provider via phone number 3184739556 and fax number 3184418339. The mailing address for Mid State Orthopaedic & Sports Medicine Center Llc is 3444 Masonic Drive, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mid State Orthopaedic & Sports Medicine Center Llc |
|---|---|
| Address | 3444 Masonic Drive, Alexandria, Louisiana |
| Phone Number | 3184739556 |
| Fax Number | 3184418339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Dodson A Mark |
| Credentials | M.D. |
| Telephone Number | 3184739556 |
NPI Number Detail
| NPI Number | 1104890052 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2022-07-05 |
Provider Mailing Address Detail
| Address | 3444 Masonic Drive |
|---|---|
| City | Alexandria |
| State | Louisiana (LA) |
| Post Code | 713013615 |
| Phone Number | 3184739556 |
| Fax Number | 3184418339 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
|
Definition: 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 car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CD7720 | LA | RAILROAD MEDICARE PALMETT | |
| 1946320 | LA | -- | |
| 570570001 | LA | MEDICARE DME GROUP # |
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What is the Mid State Orthopaedic & Sports Medicine Center Llc's 1104890052?
The Mid State Orthopaedic & Sports Medicine Center Llc's NPI (National Provider Identifier) Number is 1104890052. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mid State Orthopaedic & Sports Medicine Center Llc?
The Mid State Orthopaedic & Sports Medicine Center Llc is situated at 3444 Masonic Drive, in the city of Alexandria, state of LA, with the zip code 713013615.
What is Mid State Orthopaedic & Sports Medicine Center Llc's area of expertise and its corresponding taxonomy classification?
The Mid State Orthopaedic & Sports Medicine Center Llc's field of specialization is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their areas of practice.
When did the Mid State Orthopaedic & Sports Medicine Center Llc receive its 1104890052?
The Mid State Orthopaedic & Sports Medicine Center Llc was issued its 1104890052 on 2006-02-16, which is the date when the organization was assigned this unique identifier.
When was the information related to Mid State Orthopaedic & Sports Medicine Center Llc most recently updated or refreshed?
The details pertaining to the Mid State Orthopaedic & Sports Medicine Center Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-05.