MD CLINICS LLC (NPI# 1407492184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407492184 |
| Entity Type | Organization |
| Organization Name | MD CLINICS LLC |
| Practice Address |
10600 Industrial Dr Minden LA 71055-5105 |
| Mailing Address |
Po Box 4506 Shreveport LA 71134-0506 |
| Practice Telephone | 3182394860 |
| Practice Fax Number | 3185888820 |
| Mailing Telephone | 3182394861 |
| Mailing Fax Number | 3185888820 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | MISS PATRICIA PORTER (DIR OF OPERATIONS) |
| Authorized Official Telephone | 2132388241 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | PIC | PST.009665 | 01 |
| LA | STATE MEDICAL LICENSE - MANISH DHAWAN | MD-11219R | 01 |
| LA | 2505777 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699260083 | Md Clinics LLC | Internal Medicine | 850 Olive St, Shreveport, LA 71104-2162 | 2018-06-27 |
| Street Address |
10600 INDUSTRIAL DR |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618912 | Manish Dhawan | Internal Medicine | 10600 Industrial Dr, Minden, LA 71055 | 2005-06-09 |
| 1619506938 | Steve Maddry | Pharmacist | 10600 Industrial Dr, Minden, LA 71055-5105 | 2020-04-07 |
| 1023661634 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 10600 Industrial Dr, Minden, LA 71055-5105 | 2019-07-23 |
| 1164767398 | Kelly H Warren | Nurse Practitioner | 10600 Industrial Dr, Minden, LA 71055-5105 | 2012-11-28 |
| 1275800344 | Alicia Diane Lowery | Registered Nurse | 10600 Industrial Dr, Minden, LA 71055-5105 | 2011-11-17 |
| 1891987343 | Rebecca S. Clark | Nurse Practitioner | 10600 Industrial Dr, Minden, LA 71055-5105 | 2007-08-17 |
| 1942264999 | Joseph A Pineda | Obstetrics & Gynecology | 10600 Industrial Dr, Minden, LA 71055-5105 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942575691 | Baton Rouge Clinic Hematology Oncology Dept. | Clinic/Center | 8595 Picardy Avenue, Suite 400, Baton Rouge, LA 70809 | 2012-03-14 |
| 1134318868 | Bayou Oncology Specialists, LLC | Clinic/Center | 608 N Acadia Rd, Thibodaux, LA 70301-4847 | 2007-10-18 |
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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.