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WEST STATE ORTHOPEDICS & SPORT MEDICINE
NPI 1639376031
Specialist in Leesville, LA

Active since June 28, 2007CLIA 19D2058025 · Waiver
908 S 10TH ST STE A, LEESVILLE, LA 71446(337) 392-2330(337) 392-2580 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West State Orthopedics & Sport Medicine NPPES

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

WEST STATE ORTHOPEDICS & SPORT MEDICINE (NPI 1639376031) is a healthcare organization registered as a specialist in Leesville, Louisiana and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Anthony R Jennings, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639376031
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWEST STATE ORTHOPEDICS & SPORT MEDICINE
Location Address908 S 10TH ST STE ALeesville, LA 71446-4614
Mailing Address908 S 10th St Ste ALeesville, LA 71446-4614 · (337) 392-2330 · Fax (337) 392-2580
Phone(337) 392-2330
Fax(337) 392-2580
Organization SubpartNo
Authorized OfficialAnthony R JenningsOffice Manager · (337) 392-2330
Enumeration DateJune 28, 2007
Last NPPES UpdateMay 8, 2018
✔ NPI 1639376031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
908 S 10TH ST STE A, Leesville, LA 71446
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2058025

West State Orthopedics And Sports Medicine Clinic · Leesville, LA
Active · expires Apr 25, 2027
CLIA Number19D2058025
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorShawn P. Granger
Laboratory Phone(337) 392-2330
Laboratory LocationWest State Orthopedics And Sports Medicine Clinic908 South 10th Street, Suite A, Leesville, LA 71446
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SPG CAPITAL PARTNERS, LLC
Durable Medical Equipment & Medical Supplies
908 S 10TH ST STE A
LEESVILLE, LA 71446
Vernon Parish (337) 392-2330
DR. SHAWN PATRICK GRANGER M.D.
Orthopaedic Surgery
908 S 10TH ST STE A
LEESVILLE, LA 71446
Vernon Parish (337) 392-2330
KRISTEN ALEXANDER FNP-C
Nurse Practitioner
908 S 10TH ST STE A
LEESVILLE, LA 71446
Vernon Parish (337) 392-2330

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 West State Orthopedics & Sport Medicine's NPI number?

The NPI number for West State Orthopedics & Sport Medicine is 1639376031. It was assigned to this organization in the NPPES registry on June 28, 2007.

Where is West State Orthopedics & Sport Medicine located?

West State Orthopedics & Sport Medicine is located at 908 S 10th St Ste A, Leesville, LA 71446. The listed phone number is (337) 392-2330.

What is West State Orthopedics & Sport Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does West State Orthopedics & Sport Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2058025) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West State Orthopedics & Sport Medicine accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list West State Orthopedics & Sport Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West State Orthopedics & Sport Medicine was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.