Active NPI
Neuroscience Center of the South
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Covington, LA
National Provider Identifier
1003281577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- NEUROSCIENCE CENTER OF THE SOUTH
- Practice address
- 76 Starbrush Cir
Covington, LA 70433-7208 - Phone
- (985) 892-8934
- Fax
- (985) 871-8109
- NPI assigned
- Dec 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad Domangue, M.D
- Title
- Partner
- Phone
- (985) 801-0575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
76 Starbrush Cir
Covington, LA 70433-7208
Mailing address
76 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 892-8934
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449619200000",
"number": "1003281577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 STARBRUSH CIR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337208",
"telephone_number": "985-892-8934",
"fax_number": "985-871-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 STARBRUSH CIR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337208",
"telephone_number": "985-892-8934",
"fax_number": "985-871-8109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSCIENCE CENTER OF THE SOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A",
"authorized_official_last_name": "DOMANGUE",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "985-801-0575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
- Neurocovery, LLC
- Neuroglympse, LLC
- Neurological Rehabilitation Living Centers of Louisiana
- Neuroscience & Pain Institute LLC
- Neuroscience & Pain Institute LLC
- New Jersey Neurophysiological Monitoring Serivces, PC
- New Narrative
- New York Neurophysiological Monitoring Services, PC
- Toni Flad Newfield, LCSW
- Newman Comprehensive OB-GYN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.