AFFINITY HEALTH GROUP, LLC (NPI# 1093757510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093757510 |
| Entity Type | Organization |
| Organization Name | AFFINITY HEALTH GROUP, LLC |
| Other Organization Name | PROGRESSIVE PEDIATRICS, LLC |
| Practice Address |
3116 Kilpatrick Blvd Monroe LA 71201-5156 |
| Mailing Address |
130 Desiard St Ste 355 Monroe LA 71201-7319 |
| Practice Telephone | 3184109898 |
| Practice Fax Number | 3188079002 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188129997 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-07-05 |
| Authorized Official Name | MR. MIKE BREARD (VICE PRESIDENT) |
| Authorized Official Telephone | 3183610900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1456918 | 05 |
| Other Name | Type Code |
|---|---|
| PROGRESSIVE PEDIATRICS, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1457822991 | Affinity Health Group, LLC | Family Medicine | 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 | 2018-12-10 |
| 1104274075 | Affinity Health Group, LLC | Clinical Medical Laboratory | 2516 Broadmoor Boulevard, Suite 1c, Monroe, LA 71201 | 2016-06-01 |
| 1427414549 | Affinity Health Group, LLC | Clinical Nurse Specialist | 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 | 2016-01-05 |
| 1316352677 | Affinity Health Group, LLC | Internal Medicine | 1 Bancroft Cir, Monroe, LA 71201-5101 | 2014-06-25 |
| 1750667481 | Affinity Health Group, LLC | Dietitian, Registered | 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | 2011-10-26 |
| 1669767638 | Affinity Health Group, LLC | Dietitian, Registered | 920 Oliver Rd # J, Monroe, LA 71201-5702 | 2011-06-17 |
| 1023291226 | Affinity Health Group, LLC | Internal Medicine | 112 Saint. John Street, Monroe, LA 71201 | 2007-12-11 |
| 1902850035 | Affinity Health Group, LLC | Family Medicine | 261 Hwy 132, Mangham, LA 71259-0219 | 2006-05-22 |
| 1922617299 | Affinity Health Group, LLC | Pharmacy | 110 Saint John St, Monroe, LA 71201-7322 | 2020-07-23 |
| Street Address |
3116 KILPATRICK BLVD |
| City | MONROE |
| State | LA |
| Zip Code | 71201-5156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942535 | Donna Ann Walker | Internal Medicine | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 | 2005-06-15 |
| 1235486606 | Louisiana Oncology, LLC | Internal Medicine | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 | 2012-08-04 |
| 1417062647 | Sanjay Ayirookuzhi Joseph | Internal Medicine | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 | 2006-08-20 |
| 1992704142 | Nashat M Khanfar | Pediatrics | 3116 Kilpatrick Blvd, Monroe, LA 71201 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1902393648 | Morehouse Community Medical Centers, Inc | Pediatrics | 1825 N 18th St Ste A&b, Monroe, LA 71201-4420 | 2018-04-18 |
| 1700261336 | Munira A Yusuf Md | Pediatrics | 1703 Lamy Ln, Monroe, LA 71201-3737 | 2015-07-24 |
| 1366734832 | Francois Hayato Coutu | Pediatrics | 401 Monroe Tpke Ste 16, Monroe, CT 06468-2278 | 2011-05-03 |
| 1407087547 | Flor De Maria Grados Valderrama | Pediatrics | 2802 Pargoud Blvd, Monroe, LA 71201-2335 | 2009-08-06 |
| 1285809731 | Kathleen Reinhart Do PC | Pediatrics | 14930 Laplaisance Rd Ste 127, Monroe, MI 48161-3878 | 2008-04-25 |
| 1851422919 | Monroe Pediatrics | Pediatrics | 218 Martin Luther King Jr Blvd, Monroe, GA 30655-5622 | 2007-03-08 |
| 1386707362 | Munira A Yusuf | Pediatrics | 2829 W Deborah Dr, Monroe, LA 71201-1919 | 2006-12-19 |
| 1114004421 | Barbara Ann Davies | Pediatrics | 1210 Frank Dr, Monroe, MI 48162-3400 | 2006-11-01 |
| 1699850313 | Alan Werzberger | Pediatrics | 22 Van Buren Dr, Suite 102, Monroe, NY 10950-6018 | 2006-10-25 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.