NORTHWESTERN STATE UNIVERSITY (NPI# 1306359963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306359963 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN STATE UNIVERSITY |
| Other Organization Name | NSU SPORTS MEDICINE |
| Practice Address |
468 Caspari Drive Natchitoches LA 71497-0001 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD.15580R | LA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NSU Sports Medicine | Doing Business As Name - Organization |
| Street Address |
468 CASPARI DRIVE |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71497-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1144796145 | Zachery Dale Standiford | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71497-4271 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942746706 | Taylor Shealy Wilkes | Specialist/Technologist | 468 Caspari Dr, Natchitoches, LA 71497-0001 | 2017-01-17 |
| 1891162889 | Devin Thulin | Specialist/Technologist | 220 S Jefferson St Prather Coliseum, Natchitoches, LA 71497-0001 | 2015-08-26 |
| 1417940859 | Isaac Sean Colbert | Specialist/Technologist | Northwestern State University, Athletic Fieldhouse, Natchitoches, LA 71497-0001 | 2005-08-30 |
| 1104352863 | Reylin Rose Morgan | Specialist/Technologist | 468 Caspari Dr, Natchitoches, LA 71497-0001 | 2017-05-02 |
| 1801825088 | Victoria Anne Du Preez | Specialist/Technologist | 468 Caspari St, Athletic Field House--nsu, Natchitoches, LA 71497-0003 | 2006-07-01 |
| 1073545687 | Edward Copelan Evans II | Specialist/Technologist | 468 Caspari St, Athletic Fieldhouse, N. S. U., Natchitoches, LA 71497-0003 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124762 | Mary Flemon | Case Manager/Care Coordinator | 733 Keyser Ave Ste 120, Natchitoches, LA 71457-0039 | 2020-11-02 |
| 1992302558 | B&m Logistics Enterprises LLC | Non-emergency Medical Transport (VAN) | 114 Morgan Ln, Natchitoches, LA 71457-6077 | 2020-10-07 |
| 1568079606 | Keyshia T Flowers | Case Manager/Care Coordinator | 839 Posey St, Natchitoches, LA 71457-3860 | 2020-09-23 |
| 1295340347 | Amelia S Rachal | Speech-Language Pathologist | 1002 E 5th St, Natchitoches, LA 71457-5204 | 2020-09-14 |
| 1841817236 | Kelsey Frank | Case Manager/Care Coordinator | 723 Woodyard Dr # 723b, Natchitoches, LA 71457-5407 | 2020-07-01 |
| 1417570847 | Foundation for You Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Sibley St, Natchitoches, LA 71457-4420 | 2020-05-20 |
| 1235758376 | Just Health | Clinic/Center | 200 Church St Rm 207, Natchitoches, LA 71457-4673 | 2020-04-09 |
| 1740817873 | Amber Nicole Holmes | Case Manager/Care Coordinator | 320 Pearl St, Natchitoches, LA 71457-6023 | 2020-03-26 |
| 1568094209 | Carmen Waskom | Specialist/Technologist | 900 Fish Hatchery Rd, Natchitoches, LA 71457-6524 | 2020-02-11 |
| 1578107769 | Outpatient Medical Center, Inc. | Clinic/Center | 1621 Welch St, Natchitoches, LA 71457-4264 | 2019-10-31 |
| Find all providers in NATCHITOCHES | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525753 | Mid State Orthopaedics & Sports Medicine Center LLC | Orthopaedic Surgery | 134 East Fifth Street, Natchitoches, LA 71457 | 2016-09-07 |
| 1851561484 | Advanced Orthopaedic Surgery, LLC | Orthopaedic Surgery | 647 Bienville Cir, Natchitoches, LA 71457-5744 | 2008-03-11 |
| 1275630782 | John Pettey Sandifer | Orthopaedic Surgery | 213 South Drive, Natchitoches, LA 71457 | 2006-09-19 |
| 1528067915 | Theodore Foster Jordan IIi | Orthopaedic Surgery | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2005-07-18 |
| 1346721651 | Nrmc Physician Ipa Inc | Orthopaedic Surgery | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2018-08-24 |
| 1124257530 | Natchitoches Medical Specialists | Orthopaedic Surgery | 1029 Keyser Ave, Natchitoches, LA 71457-6248 | 2009-07-07 |
| 1710148085 | Justin Nilsson Duke | Orthopaedic Surgery | 501 Keyser Ave, Natchitoches, LA 71457-6018 | 2008-06-19 |
| 1104913912 | Steven Michael Kautz | Orthopaedic Surgery | 1029 Keyser Avenue, Natchitoches, LA 71457-6239 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897743 | Highland Clinic, A Prof Med Corp | Orthopaedic Surgery | 5025 Shed Rd, Bossier City, LA 71111-5434 | 2020-09-24 |
| 1437770435 | Cwd LLC | Orthopaedic Surgery | 2600 Belle Chasse Hwy Ste I, Terrytown, LA 70056-7156 | 2020-04-30 |
| 1982224556 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 376 Cocoville Rd, Mansura, LA 71350-4264 | 2020-04-23 |
| 1962041954 | James R Lafleur | Orthopaedic Surgery | 122 Wembley Rd, Lafayette, LA 70503-3567 | 2019-12-23 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1467935965 | Marco Rodriguez Md LLC | Orthopaedic Surgery | 606 Colonial Dr Ste A, Baton Rouge, LA 70806-6535 | 2018-09-11 |
| 1114438140 | Oano LLC | Orthopaedic Surgery | 3434 Prytania St Ste 430, New Orleans, LA 70115-3525 | 2017-10-17 |
| 1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
| 1164961975 | Lmg LLC | Orthopaedic Surgery | 14041 Highway 90, Boutte, LA 70039-3511 | 2017-02-14 |
| 1205385796 | Mid State Orthopaedic & Sports Medicine Center LLC | Orthopaedic Surgery | 601 W Lafayette St, Winnfield, LA 71483-3451 | 2016-09-26 |
| Find all providers with the same taxonomy | ||||
| City | NATCHITOCHES |
| Zip Code | 71497 |
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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.