Skip to content

West State Orthopedics & Sport Medicine

NPI 1639376031ActiveOrganization· Specialist· Leesville, LA

Specialist in Leesville, Louisiana, registered in NPPES in June 2007. The authorized official on file is Anthony R. Jennings, Office Manager. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.

Overview

NPI1639376031
StatusActive
Entity typeOrganization
NPI issuedJun 28, 2007
Last updated in NPPESMay 8, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (LA); Part B Supplier - Clinic/Group Practice (LA)

Medicare sources and data years

Other Specialist providers in Leesville

All Specialist providers in Louisiana →