CONCORD MEDICAL GROUP, PLLC


Address: 600 S Pine St, Deridder, LA 70634-4942
Phone: 3374627100

CONCORD MEDICAL GROUP, PLLC (NPI# 1972906758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972906758
Entity Type Organization
Organization Name CONCORD MEDICAL GROUP, PLLC
Practice Address 600 S Pine St
Deridder
LA 70634-4942
Mailing Address Po Box 2858
Abilene
TX 79604-2858
Practice Telephone 3374627100
Mailing Telephone 8882640330
Mailing Fax Number 8006115029
Enumeration Date 2014-10-07
Last Update Date 2014-10-08
Authorized Official Name DR. HARRY KYLE SHEETS (PRESIDENT)
Authorized Official Telephone 8882640330
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist Allopathic & Osteopathic Physicians

Office Location

Street Address 600 S PINE ST
City DERIDDER
State LA
Zip Code 70634-4942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831193499 Hospital Service District No 2 of Parish of Beauregard State of La General Acute Care Hospital 600 S Pine St, Deridder, LA 70634-4942 2005-06-10
1780203000 James Christian Armetta Speech-Language Pathologist 600 S Pine St, Deridder, LA 70634-4942 2020-04-16
1164985495 West Louisiana Health Services Inc Physical Therapist 600 S Pine St, Deridder, LA 70634-4942 2019-04-12
1083111678 Anna Reuber Nurse Practitioner 600 S Pine St, Deridder, LA 70634-4942 2018-04-10
1972019529 Alexis J Amato Specialist/Technologist 600 S Pine St, Deridder, LA 70634-4942 2017-12-19
1316308927 Kallie Hess Nurse Practitioner 600 S Pine St, Deridder, LA 70634-4942 2016-03-09
1710226790 Beauregard Physician Services LLC Physician Assistant 600 S Pine St, Deridder, LA 70634-4942 2013-02-11
1295082568 Amanda Leigh Harrell Registered Nurse 600 S Pine St, Deridder, LA 70634-4942 2012-08-06
1497034185 Deborah Michelle Thompson Nurse Practitioner 600 S Pine St, Deridder, LA 70634-4942 2011-08-11
1992005532 Beauregard Pediatric Center, LLC Pediatrics 600 S Pine St, Deridder, LA 70634-4942 2010-10-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861016164 Just Health Clinic/Center 411 Bolivar Bishop Dr, Deridder, LA 70634 2020-06-02
1477193183 Stacey Marie Legros Occupational Therapy Assistant 19503 Highway 171, Deridder, LA 70634 2020-01-10
1487296588 Imperial Health LLP Internal Medicine 200 W 5th Street, Deridder, LA 70634 2019-10-10
1902367568 Residential Therapy Solutions, LLC Physical Therapist 19503 Hwy 171, Deridder, LA 70634 2019-03-27
1023583044 Calcasieu Urgent Care LLC Clinic/Center 1017 N Pine Street, Deridder, LA 70634 2018-10-05
1235638222 Melanie Welch, Fnp, LLC Nurse Practitioner 1420 Blankenship Dr., Deridder, LA 70634 2018-02-06
1265976617 Jennifer Dianne Midgett Nurse Practitioner 2581 Highway 190 W, Deridder, LA 70634 2016-12-05
1821419334 Beauregard Hematolog & Oncology Internal Medicine 301 S. Washington St., Ste B, Deridder, LA 70634 2013-12-31
1982835013 Kathern Sue Hollifield Physical Therapist 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 2009-08-06
1750541777 Tracy Winkley Physical Therapist 1744 Ball Rd, Deridder, LA 70634 2008-06-12
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447870456 American Specialty Medical Services, LLC Hospitalist 3600 Prytania St Ste A, New Orleans, LA 70115-3628 2020-04-20
1346728508 Venture Hospitalist, LLC Hospitalist 1135 Royal St Apt 2, New Orleans, LA 70116-2717 2018-07-31
1144600925 Kateryna A Poole Hospitalist 1516 Jefferson Highway, Bh629, Ochsner Internal Medicine Department, New Orleans, LA 70121 2015-06-05
1518386648 Robert Oubre Hospitalist Hospital Medicine Services, 5000 Hennessy Blvd, Baton Rouge, LA 70808 2014-04-16
1376961912 Marilyn Kristel Marshall Hospitalist 79 Coronado Ave, Kenner, LA 70065-3132 2014-04-01
1851718738 Simon Shamass Hospitalist 1542 Tulane Ave Rm 444, New Orleans, LA 70112-2865 2014-03-27
1518252220 Dustin Allan Abadco Hospitalist 180 West Esplande Avenue, Kenner, LA 70065-2467 2011-06-10
1952630360 Hawkeye Medical, LLC Hospitalist 3319 Highway 107 South, Plaucheville, LA 71362 2009-12-14
1609005073 Innovative Hospitalist Services LLC Hospitalist 85 Whisperwood Blvd Ste 1s, Slidell, LA 70458-1136 2009-07-07
1801037866 Shane Guillory Hospitalist 252 Metairie Heights Ave, Metairie, LA 70001-3037 2009-03-20
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Competitor

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City DERIDDER
Zip Code 70634

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Dataset Information

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.

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