INTERNAL MEDICINE CLINIC
NPI 1982002911
Internal Medicine - Cardiovascular Disease in Monroe, LA

NPI Status: Active since December 08, 2014

Contact Information

2516 BROADMOOR BLVD
MONROE, LA
ZIP 71201
Phone: (318) 998-0353
Fax: (318) 998-0357

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About INTERNAL MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Internal Medicine Clinic, an internist established in Monroe, Louisiana operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1982002911 assigned on December 2014. The practitioner's primary taxonomy code is 207RC0000X with license number 013918 (LA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Internal Medicine Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Internal Medicine Clinic. The authorized official of this NPI record is Mr. Mike Breard (Executive Vice President)

NPI
1982002911
Provider Legal Name
AFFINITY HEALTH GROUP, LLC
Other Organization Name
INTERNAL MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2516 BROADMOOR BLVD MONROE, LA 71201
Location Phone
(318) 998-0353
Location Fax
(318) 998-0357
Mailing Address
130 DESIARD ST SUITE 355 MONROE, LA 71201
Mailing Phone
(318) 807-7875
Mailing Fax
(318) 998-0357
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2014
Last Update Date
04-27-2017
Code Navigator

An internist like Internal Medicine Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
013918
License State
LA
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MIKE BREARD

Authorized Official Title
EXECUTIVE VICE PRESIDENT
Authorized Official Phone
(318) 361-0900

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982002911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2916200492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 0 + 0 + 4 + 9 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1982002911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053389858DR. RONALD PAUL KOEPKE M.D.
Individual
Internal Medicine (Cardiovascular Disease)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 322-1161
1619903572DR. ARTHUR E LILES MD
Individual
Urology2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 387-9420
1063432011 DAVID MELTON CASKEY JR. MD
Individual
Internal Medicine (Cardiovascular Disease)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 322-1161
1073656765 ODELL JOSEPH DEAN JR. M.D.
Individual
Urology2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 807-1390
1750793378AFFINITY HEALTH GROUP, LLC
Organization
Otolaryngology2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 812-1125
1275942757AFFINITY HEALTH GROUP LLC
Organization
Internal Medicine (Cardiovascular Disease)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 322-7726
1629014626DR. JON BRADLEY JOHNSON MD
Individual
Urology2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 387-9420
1609803477 JAMES H EXTINE DO
Individual
Orthopaedic Surgery2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 807-4746
1285665554 ROBERT L HUMBLE MD
Individual
Urology2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 807-1390
1922033059DR. JOEL W NORRIS MD
Individual
Otolaryngology2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 812-1125
1992844435DR. HENRY GOVAN TALIAFERRO M.D.
Individual
Otolaryngology2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 812-1125
1467558627DR. LORRA M. PETTIT AU.D.
Individual
Audiologist2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 812-1125
1144547001 JEFFREY HILBUN MD
Individual
Internal Medicine (Interventional Cardiology)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 322-1161
1467546168DR. GREGORY C SAMPOGNARO M.D.
Individual
Internal Medicine (Interventional Cardiology)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 322-7726
1972895282 THOMAS ROSS SMITH MD
Individual
Internal Medicine (Interventional Cardiology)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 322-1161
1710974969MRS. KAMI WORLEY WIEDEMAN NP-C
Individual
Nurse Practitioner (Family)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 322-7726
1083742993 NICOLE MIDDLETON FULLER NP-C
Individual
Nurse Practitioner (Family)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 322-1161
1588040703 EMILY WILLARD NP
Individual
Nurse Practitioner (Family)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 998-0353
1477380871 SAVANNAH A POLK NP
Individual
Nurse Practitioner (Family)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 387-9420
1922261551 PHILLIP L MILLER APRN, NP
Individual
Nurse Practitioner (Acute Care)2516 BROADMOOR BLVD
MONROE, LA 71201
(318) 807-4743

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982002911, enumerated in the NPI registry as an "organization" on December 08, 2014

The provider is located at 2516 Broadmoor Blvd Monroe, La 71201 and the phone number is (318) 998-0353

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

This NPI record was last updated on December 08, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.