AFFINITY HEALTH GROUP, LLC (NPI# 1184791287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184791287 |
| Entity Type | Organization |
| Organization Name | AFFINITY HEALTH GROUP, LLC |
| Other Organization Name | THE MEDICAL OFFICE |
| Practice Address |
112 Saint John St Monroe LA 71201-7322 |
| Mailing Address |
130 Desiard St Ste 355 Monroe LA 71201-7319 |
| Practice Telephone | 3183875681 |
| Practice Fax Number | 3183229957 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188129997 |
| Enumeration Date | 2006-11-30 |
| 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 |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP04747 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | MD016846 | LA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| THE MEDICAL OFFICE | 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 |
112 SAINT JOHN ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201-7322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396704375 | Patrick G Jones | Family Medicine | 112 Saint John St, Monroe, LA 71201-7322 | 2006-03-20 |
| 1659997732 | Brittany R Basco | Nurse Practitioner | 112 Saint John St, Monroe, LA 71201-7322 | 2020-06-24 |
| 1902288970 | Ryan Grimmett | Nurse Practitioner | 112 Saint John St, Monroe, LA 71201-7322 | 2015-06-25 |
| 1083029987 | Cammie Maxwell Neatherland | Nurse Practitioner | 112 Saint John St, Monroe, LA 71201-7322 | 2014-06-30 |
| 1376652644 | Sally Ann Crenshaw | Nurse Practitioner | 112 Saint John St, Monroe, LA 71201-7322 | 2006-08-30 |
| 1528072188 | Theresa J Ross | General Practice | 112 Saint John St, Monroe, LA 71201-7322 | 2006-07-28 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124832 | Jessica Womack | Family Medicine | 527 W Hurd Rd, Monroe, MI 48162-9205 | 2020-05-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1457822991 | Affinity Health Group, LLC | Family Medicine | 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 | 2018-12-10 |
| 1144601121 | Rebecca Redding | Family Medicine | 924 W Spring St Ste A, Monroe, GA 30655-1751 | 2015-06-15 |
| 1285069088 | Geaux Family Health, LLC | Family Medicine | 2408 Duval Dr, Suite 1, Monroe, LA 71201-2986 | 2013-09-11 |
| 1033559844 | Mvhe, Inc | Family Medicine | 20 Overbrook Dr Ste C, Monroe, OH 45050-1147 | 2013-06-26 |
| 1982048237 | Erin Robinson Breard | Family Medicine | 3995 Sterlington Rd, Ste A, Monroe, LA 71203-3723 | 2013-04-17 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1598015968 | Urban Medical Clinic, Inc. | Family Medicine | 1910 Jackson St., Monroe, LA 71202-2532 | 2012-09-13 |
| 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.