MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC – NPI #1447707583
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.

MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC is an orthopaedic surgeon located in VILLEPLATTE, LA. NPPES has assigned the NPI number 1447707583 to MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC on September 07, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 5 years ago on Apr 26, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC below.

NPI Profile for
MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC

NPI Number
1447707583
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC
Primary location
504 JACK MILLER ROAD
VILLEPLATTE, LA 70586
Phone: (318) 473-9556 Fax: (318) 484-6032
Mailing address
3444 MASONIC DRIVE
ALEXANDRIA, LA 71301
Phone: (318) 473-9556 Fax: (318) 484-6032
Organization Subpart
Yes - MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC is subpart of another organization.
Authorized Official
MARK DODSON
PRESIDENT
Phone: (318) 473-9556
Updated
Certification Date
Apr 26, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARELACD7720
MEDICAIDLA1946320
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
LA 9317843

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.