OrganizationActive
Classical Paediatrics, Amc
NPI 1104872852 · Specialist · Monroe, LA
Provider details
- NPI number
- 1104872852
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Martin Young, President(318) 323-3996
- License
- 09436R (LA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
920 Oliver Rd
Suite 1475
Monroe, LA 71201-5702
Phone: (318) 323-3996
Fax: (318) 324-2181
Street-level locationGet directions
Mailing address
3928 Jefferson Davis Pl
Monroe, LA 71201-1957
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.