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MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC
NPI 1093262123
Orthopaedic Surgery in Pineville, LA

Active since September 07, 2016
429 ROCKY BAYOU DRIVE, PINEVILLE, LA 71360(318) 473-9556(318) 484-6032 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2020, Jul 16, 2020, Jan 20, 2017 (3 updates tracked since 2017).

About Mid State Orthopaedic & Sports Medicine Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC (NPI 1093262123) is a healthcare organization registered as an orthopaedic surgery in Pineville, Louisiana and active in the NPI registry since September 2016. The organization lists Mark Dodson, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1093262123
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC
Location Address429 ROCKY BAYOU DRIVEPineville, LA 71360
Mailing Address3444 Masonic DriveAlexandria, LA 71301 · (318) 473-9556 · Fax (318) 484-6032
Phone(318) 473-9556
Fax(318) 484-6032
Organization SubpartYesParent: Midstate Orthopaedic & Sports Center
Authorized OfficialMark DodsonBilling Manager · (318) 473-9556
Enumeration DateSeptember 7, 2016
Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1093262123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in LA · 9317843
Definition
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.
429 ROCKY BAYOU DRIVE, Pineville, LA 71360
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Other Identifiers 2

OtherCD7720LA · Railroad Medicare
Medicaid1946320LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBY LOU FENNELL O.T.
Occupational Therapist
429 ROCKY BAYOU DRIVE
PINEVILLE, LA 71360
Rapides Parish (318) 545-4120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid State Orthopaedic & Sports Medicine Center LLC's NPI number?

The NPI number for Mid State Orthopaedic & Sports Medicine Center LLC is 1093262123. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Mid State Orthopaedic & Sports Medicine Center LLC located?

Mid State Orthopaedic & Sports Medicine Center LLC is located at 429 Rocky Bayou Drive, Pineville, LA 71360. The listed phone number is (318) 473-9556.

What is Mid State Orthopaedic & Sports Medicine Center LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Mid State Orthopaedic & Sports Medicine Center LLC was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.