AFFINITY HEALTH GROUP, LLC (NPI# 1629469812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629469812 |
| Entity Type | Organization |
| Organization Name | AFFINITY HEALTH GROUP, LLC |
| Other Organization Name | AFFINITY SURGERY CLINIC |
| Practice Address |
2516 Broadmoor Blvd Monroe LA 71201-2988 |
| Mailing Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
| Practice Telephone | 3183982984 |
| Practice Fax Number | 3183982913 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | MS. JANET JUSTICE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3188077875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Affinity Surgery Clinic | 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 |
2516 BROADMOOR BLVD |
| City | MONROE |
| State | LA |
| Zip Code | 71201-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974969 | Kami Worley Wiedeman | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2005-10-03 |
| 1609366053 | Affinity Health Group LLC | Clinic/Center | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2018-05-11 |
| 1386007672 | Joy Renee Huggins | Registered Nurse | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2016-04-04 |
| 1588040703 | Emily Willard | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2015-08-11 |
| 1871975847 | Amber Kelly | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2015-06-25 |
| 1861879249 | Affinity Health Group, LLC | Orthopaedic Surgery | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2015-05-05 |
| 1982002911 | Affinity Health Group, LLC | Internal Medicine | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-12-08 |
| 1275942757 | Affinity Health Group LLC | Internal Medicine | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-08-08 |
| 1750793378 | Affinity Health Group, LLC | Otolaryngology | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-06-02 |
| 1043562598 | Lauren R Fitch | Physician Assistant | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2012-10-09 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336622158 | The Surgery Clinic of Northeast Louisiana LLC | Surgery | 1503 N 19th St, Monroe, LA 71201-4941 | 2018-09-07 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1811210917 | Union Physicians Network Inc | Surgery | 1423-b E Franklin Street, Monroe, NC 28112-5087 | 2010-03-04 |
| 1720259468 | William H. Bell IIi, D.o.,p.c. | Surgery | 905 N Macomb St Ste 4, Monroe, MI 48162-3076 | 2008-03-21 |
| 1699964858 | Georgia Laparospic Surgical Specialists PC | Surgery | 704 Breedlove Dr Ste B, Monroe, GA 30655-2054 | 2007-10-23 |
| 1487840013 | Edward B. Bower, Md, Pa | Surgery | 900 E Sunset Dr, A, Monroe, NC 28112-5893 | 2007-09-18 |
| 1871707661 | Cesar Medalla Delima | Surgery | 333 Alcovy Street, Suite 10, Monroe, GA 30655 | 2007-05-10 |
| 1316061179 | Richard Keith Jacob Jr. | Surgery | 2151 W Spring St Ste B210, Monroe, GA 30655 | 2007-03-19 |
| 1891880613 | William Henry Bell IIi | Surgery | 905 North Macomb Street Suite 4, Monroe, MI 48162 | 2006-10-04 |
| 1437161171 | Frank B Sartor | Surgery | 500 Hart St, Monroe, LA 71201-7504 | 2006-08-12 |
| 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.