AFFINITY HEALTH GROUP, LLC (NPI# 1982002911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982002911 |
| Entity Type | Organization |
| Organization Name | AFFINITY HEALTH GROUP, LLC |
| Other Organization Name | INTERNAL MEDICINE CLINIC |
| Practice Address |
2516 Broadmoor Blvd Monroe LA 71201-2988 |
| Mailing Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
| Practice Telephone | 3189980353 |
| Practice Fax Number | 3189980357 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | MR. MIKE BREARD (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3183610900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
013918 | LA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Internal Medicine 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 |
| 1629469812 | Affinity Health Group, LLC | Surgery | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2015-02-10 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902443310 | Affinity Health Gorup, LLC | Internal Medicine | 2516 Broadmoor Blvd Ste 2, Monroe, LA 71201-2988 | 2019-12-04 |
| 1235372426 | D. Scott Burkett, M.d. (a Medial Corporation) | Internal Medicine | 513 Walnut St, Monroe, LA 71201-6229 | 2009-04-17 |
| 1023291226 | Affinity Health Group, LLC | Internal Medicine | 112 Saint. John Street, Monroe, LA 71201 | 2007-12-11 |
| 1033281811 | Advanced Heart Care | Internal Medicine | 1414 Stewart Rd, Monroe, MI 48162-9228 | 2006-11-15 |
| 1982799532 | Northeast Louisiana Cardiovascular | Internal Medicine | 2503 Broadmoor Blvd, Monroe, LA 71201-2987 | 2006-10-03 |
| 1528170255 | Kurt D Olinde | Internal Medicine | 3370 Deborah Dr, Monroe, LA 71201-2151 | 2006-08-31 |
| 1841237286 | Rezaul Islam | Internal Medicine | 3100 Forsythe Ave, Monroe, LA 71201-3014 | 2006-06-02 |
| 1043257090 | Shayne R Squires | Internal Medicine | 2151 W Spring St Ste B110, Monroe, GA 30655-3209 | 2006-05-31 |
| 1841274768 | Godfrey Achilihu | Internal Medicine | 614 N 2nd St, Monroe, LA 71201-6236 | 2005-12-05 |
| 1205820255 | Emile Anthony Barrow Jr. | Internal Medicine | 1100 N 18th St Ste 100, Monroe, LA 71201-5712 | 2005-09-06 |
| 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.