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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
Street Address |
600 S PINE ST |
City | DERIDDER |
State | LA |
Zip Code | 70634-4942 |
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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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 |
Find all providers in zip 70634 |
Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
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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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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.