WEST STATE ORTHOPEDICS AND SPORTS MEDICINE CLINIC (NPI# 1720037922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720037922 |
Entity Type | Organization |
Organization Name | WEST STATE ORTHOPEDICS AND SPORTS MEDICINE CLINIC |
Practice Address |
506 S 6th St Suite B Leesville LA 71446-4442 |
Practice Telephone | 3373922330 |
Practice Fax Number | 3373922580 |
Mailing Telephone | 3373922330 |
Mailing Fax Number | 3373922580 |
Enumeration Date | 2006-05-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SHAWN PATRICK GRANGER (PHYSICIAN / OWNER) |
Authorized Official Telephone | 3373922330 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 11865R | LA | Allopathic & Osteopathic Physicians |
Street Address |
506 S 6TH ST SUITE B |
City | LEESVILLE |
State | LA |
Zip Code | 71446-4442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992708499 | Leesville Diagnostic Center Lp | Clinical Medical Laboratory | 506 S 6th St, Ste C, Leesville, LA 71446-4442 | 2005-05-27 |
1437791118 | Sherri Earlene Bennett | Nurse Practitioner | 506 S 6th St, Leesville, LA 71446-4482 | 2019-10-14 |
1871065516 | Clhg-leesville, LLC | Clinic/Center | 506 S 6th St, Leesville, LA 71446-4482 | 2018-12-19 |
1417371279 | East State Mht LLC | Family Medicine | 506 S 6th St, Leesville, LA 71446-4482 | 2014-02-13 |
1740629021 | Teofilo Gozaine LLC | Otolaryngology | 506 S 6th St, Leesville, LA 71446-4482 | 2013-06-19 |
1760749261 | Jacob Colman Blakeman | Podiatrist | 506 S 6th St, Leesville, LA 71446-4482 | 2012-04-20 |
1770701898 | David Hawkes Steiner | Orthopaedic Surgery | 506 S 6th St, Leesville, LA 71446-4442 | 2007-04-23 |
1942223904 | Lizabeth G Hattaway | Nurse Practitioner | 506 S 6th St, Leesville, LA 71446-4482 | 2006-07-25 |
1598764102 | Teofilo Gozaine | Otolaryngology | 506 S 6th St, Leesville, LA 71446-4442 | 2005-07-15 |
1881693497 | Christian Freund | Urology | 506 S 6th St, Suite B, Leesville, LA 71446-4442 | 2005-07-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699399048 | Just Health | Clinic/Center | 1203 South Fourth St, Leesville, LA 71446 | 2020-06-02 |
1487298964 | Usafetrans | Non-emergency Medical Transport (VAN) | 9348 Shreveport Hwy, Leesville, LA 71446 | 2019-10-29 |
1235634486 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 298 Nolan Trace Pkwy., Leesville, LA 71446 | 2018-03-29 |
1598280810 | Heather Wisby | Nurse Practitioner | 919 S. 10th St., Leesville, LA 71446 | 2017-08-08 |
1487183802 | Cathryn Lea Gaur | Speech-Language Pathologist | 300 Nolan Trace, Leesville, LA 71446 | 2017-06-08 |
1356708515 | Jessica Slaughter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-01-19 |
1366820714 | Companion Care of Southwest Louisiana | In Home Supportive Care | 407 B North 5th Street, Leesville, LA 71446 | 2015-05-18 |
1760887673 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 800 S. 3rd St., Leesville, LA 71446 | 2014-11-04 |
1003244781 | Byrd Regional Hospital | General Acute Care Hospital | 1020 W. Fertitta Blvd., Leesville, LA 71446 | 2013-10-16 |
1447500293 | Jana N Lambert | Nurse Practitioner | 919 S. 10th St, Leesville, LA 71446 | 2012-09-19 |
Find all providers in zip 71446 |
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 |
---|---|---|---|---|
1760887673 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 800 S. 3rd St., Leesville, LA 71446 | 2014-11-04 |
1033166962 | Jeffrey F Traina | Orthopaedic Surgery | 800 S. 3rd Street, Leesville, LA 71446 | 2006-05-27 |
1609825165 | Shawn Patrick Granger | Orthopaedic Surgery | 908 S 10th St Ste A, Leesville, LA 71446-4614 | 2006-05-10 |
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 |
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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.