LOUISIANA COLLEGE (NPI# 1326466954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326466954 |
| Entity Type | Organization |
| Organization Name | LOUISIANA COLLEGE |
| Other Organization Name | LOUISIANA COLLEGE SPORTS MEDICINE |
| Practice Address |
1140 College Dr Box 563 Pineville LA 71359-1000 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 3184877792 |
| Practice Fax Number | 3184877174 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673451 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |
| Authorized Official Name | JON HAY (HEAD ATHLETIC TRAINER) |
| Authorized Official Telephone | 3184877792 |
| Authorized Official Credential | ATC, LAT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Louisiana College Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOUISIANA COLLEGE | 1140 College Drive, Pineville, LA 71359-1000 |
| Street Address |
1140 COLLEGE DR BOX 563 |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71359-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831298793 | Kathi L Burns | Specialist | 1140 College Dr, Pineville, LA 71359-1000 | 2006-09-21 |
| 1114450582 | Samantha Renee Rios | Specialist/Technologist | 1140 College Dr, Pineville, LA 71360-5122 | 2017-04-04 |
| 1689023731 | Joshua Edwards | Counselor | 1140 College Dr, Pineville, LA 71360-5122 | 2016-06-09 |
| 1447646807 | Michael Brunet II | Specialist/Technologist | 1140 College Dr, Pineville, LA 71359-1000 | 2015-04-13 |
| 1144648460 | Crystal Renee Nelson | Specialist/Technologist | 1140 College Dr, Box 563, Pineville, LA 71359-1000 | 2014-04-03 |
| 1427357383 | Loving Care-nurse Led Clinic, LLC | Nurse Practitioner | 1140 College Dr, Pineville, LA 71360-5122 | 2011-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871704965 | Dina B Leighton | Rehabilitation Practitioner | 1140 College Ave Lc College Pool, C/o Pe Dept Dr Spears, Pineville, LA 71359 | 2007-05-24 |
| 1730604588 | Hannah J Gates | Specialist/Technologist | 1140 College Drive Box 563, Pineville, LA 71359-0001 | 2017-08-12 |
| 1659308633 | Damon Ogle | Massage Therapist | La College 1140 College Dr., Pineville, LA 71359-0505 | 2006-06-27 |
| 1740713528 | Lakyn Miller | Specialist/Technologist | 1140 College Dr # 563, Pineville, LA 71359-1000 | 2017-04-07 |
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568851962 | University of Louisiana of Monroe | Family Medicine | 308 Warhawk Way, Monroe, LA 71209-0001 | 2015-01-22 |
| 1497768147 | Rani G Whitfield | Family Medicine | 429 East Airport Dr., Suite 4, Baton Rouge, LA 70806 | 2006-08-14 |
| 1962474064 | Amanda Ruth Phillips-savoy | Family Medicine | 204 Energy Pkwy, Suite B, Lafayette, LA 70508-3816 | 2006-02-02 |
| 1538703335 | Center for Orthopaedics and Spine LLC | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-11-05 |
| 1861881435 | Nicholls State University | Family Medicine | 906 E 1st St, Thibodaux, LA 70301-6701 | 2015-01-20 |
| 1295155778 | Alex Anderson | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2014-04-23 |
| 1558658211 | Travis Steven Currie | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2011-07-01 |
| 1700065323 | The Bond Group | Family Medicine | 913 S College Rd, Suite 106, Lafayette, LA 70503-3060 | 2007-10-31 |
| 1790983807 | Brian Joseph Lindenmayer | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2007-07-10 |
| 1710184965 | The Bond Group, LLC | Family Medicine | 1101 S College Rd, Suite 201, Lafayette, LA 70503-3038 | 2007-06-29 |
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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.