National Provider Identifier Database

MID STATE ORTHOPAEDIC SPORTS MEDICINE CENTER LLC
Orthopaedic Surgery

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.


Contact Information

MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC
429 ROCKY BAYOU DRIVE
PINEVILLE, LA71360
Phone: 318-473-9556
Fax: 318-484-6032
Website:
Specialty Taxonomy Code
* Orthopaedic Surgery 207X00000X

* Indicates primary specialty

NPI Profile & details for MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC

NPI Number 1093262123
Legal business name
LBN
MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC
Authorized official MARK DODSON - (BILLING MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 09/07/2016
Last updated 07/20/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 9317843
  • LA Medicaid: 1946320
  • LA Other: CD7720 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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