LSU CLINICS OF MONROE
NPI 1962674713
Family Medicine in Monroe, LA

Q: What is Louisiana State University Health Sciences Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 01, 2008

4864 JACKSON ST, MONROE, LA 71202(318) 330-7000(318) 675-5666 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lsu Clinics Of Monroe NPPES

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

LSU CLINICS OF MONROE (NPI 1962674713) is a healthcare organization registered as a family medicine in Monroe, Louisiana and active in the NPI registry since April 2008. The organization lists Melanie H Sotak, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1962674713

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

Location Address4864 JACKSON STMonroe, LA 71202-6400

Mailing Address1501 Kings Hwy, Shared Billing ServicesShreveport, LA 71103-4228 · (318) 675-5000 · Fax (318) 675-5666

Phone(318) 330-7000

Fax(318) 675-5666

Organization SubpartNo

Authorized OfficialMelanie H SotakDirector Of Managed Care · (318) 675-7737

Enumeration DateApril 1, 2008

✔ NPI 1962674713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 142

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 142 (LA)

Also ListedInternal MedicineTaxonomy 207R00000X · License 142 (LA)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 142 (LA)

Also ListedOphthalmologyTaxonomy 207W00000X · License 142 (LA)

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 142 (LA)

Also ListedPediatricsTaxonomy 208000000X · License 142 (LA)

4864 JACKSON ST, Monroe, LA 71202

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Other Names 1

Doing Business AsLsu Clinics Of Monroe

Other Identifiers 2

Medicare PIN5F600LA

Medicaid1792896LA

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

Other Providers at the Same Location NPPES 20

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

DR. EDDYE BLOSSOM II MD

Obstetrics & Gynecology

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7626

MISS KANDICE NICOLE HUNTER APRN, AGNP

Nurse Practitioner

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7000

HARNOOR SANDHU

Student in an Organized Health Care Education/Training Program

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7600

JEFFERY FULLER M.D.

Emergency Medicine

4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202

Ouachita Parish (318) 675-7737

DR. WILLIAM TODD YATES MD

Family Medicine

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7626

SHANKAR NADESAN MD

Student in an Organized Health Care Education/Training Program

4864 JACKSON ST, DEPT. OF FAMILY MEDICINE
MONROE, LA 71202

Ouachita Parish (318) 330-7615

ANN MARIE CLACK WHNP

Nurse Practitioner (Women's Health)

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7000

MR. JONATHAN D BREWER PA

Physician Assistant (Medical)

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7626

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 Louisiana State University Health Sciences Center's NPI number?

The NPI number for Louisiana State University Health Sciences Center is 1962674713. It was assigned to this organization in the NPPES registry on April 1, 2008. The provider is doing business as Lsu Clinics Of Monroe.

Where is Louisiana State University Health Sciences Center located?

Louisiana State University Health Sciences Center is located at 4864 Jackson St, Monroe, LA 71202. The listed phone number is (318) 330-7000.

What is Louisiana State University Health Sciences Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Louisiana State University Health Sciences Center was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.