HIGHLAND CLINIC, A PROF MED CORP
NPI 1740897743
Orthopaedic Surgery in Bossier City, LA

Active since September 24, 2020CLIA 19D2190985 · Waiver
5025 SHED RD, BOSSIER CITY, LA 71111(318) 795-4741(318) 795-4742 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Sep 25, 2020 (2 updates tracked since 2020).

About Highland Clinic, A Prof Med Corp NPPES

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

HIGHLAND CLINIC, A PROF MED CORP (NPI 1740897743) is a healthcare organization registered as an orthopaedic surgery in Bossier City, Louisiana and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Michael Gustavson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740897743
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameHIGHLAND CLINIC, A PROF MED CORP
Location Address5025 SHED RDBossier City, LA 71111-5434
Mailing Address1455 E Bert Kouns Industrial LoopShreveport, LA 71105-5634 · (318) 798-4500 · Fax (318) 798-4601
Fax(318) 795-4742
Organization SubpartNo
Authorized OfficialMichael GustavsonAdministrator · (318) 798-4465
Enumeration DateSeptember 24, 2020
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1740897743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
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.
5025 SHED RD, Bossier City, LA 71111

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

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 19D2190985

Highland Clinic, Apmc · Bossier City, LA
Active · expires Aug 20, 2026
CLIA Number19D2190985
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorGonzalo Alvarez Del Real
Laboratory Phone(318) 798-4495
Laboratory LocationHighland Clinic, Apmc5025 Shed Rd, Bossier City, LA 71111
CLIA data matches this NPI record on: Address
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.

Physician Assistant
5025 SHED RD
BOSSIER CITY, LA 71111
Nurse Practitioner (Family)
5025 SHED RD
BOSSIER CITY, LA 71111
Nurse Practitioner (Family)
5025 SHED RD
BOSSIER CITY, LA 71111

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 Highland Clinic, A Prof Med Corp's NPI number?

The NPI number for Highland Clinic, A Prof Med Corp is 1740897743. It was assigned to this organization in the NPPES registry on September 24, 2020.

Where is Highland Clinic, A Prof Med Corp located?

Highland Clinic, A Prof Med Corp is located at 5025 Shed Rd, Bossier City, LA 71111. The listed phone number is (318) 795-4741.

What is Highland Clinic, A Prof Med Corp's specialty?

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

Does Highland Clinic, A Prof Med Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2190985) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Highland Clinic, A Prof Med Corp was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.