Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid State Orthopaedic & Sports Medicine Center LLC

Organization Orthopaedic Surgery Physician · NPI 1093262123

Mid State Orthopaedic & Sports Medicine Center LLC is an Orthopaedic Surgery Physician in Pineville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.

Licensed in
LA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

429 Rocky Bayou Dr
Pineville, LA 71360
Phone: (318) 473-9556
Fax: (318) 484-6032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 9317843 (LA)

Record details

NPI number1093262123
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMidstate Orthopaedic & Sports Center
Authorized official Mark Dodson — Billing Manager · (318) 473-9556
NPI enumeratedSeptember 7, 2016
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020
Mailing address3444 Masonic Drive, Alexandria, LA 71301