Active NPI
LGH OB-GYN Clinic 2
- Obstetrics & Gynecology Physician
- Ruston, LA
National Provider Identifier
1013013408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD.201086
- Legal business name
- LGH OB-GYN CLINIC 2
- Practice address
- 411 East Vaughn Ave.
Suite 201
Ruston, LA 71270 - Phone
- (318) 255-3223
- Fax
- (318) 255-3181
- NPI assigned
- Sep 15, 2006
- 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
- Thomas Stone
- Title
- Ceo
- Phone
- (318) 254-2453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD.201086 | LA | Primary |
Addresses
Primary practice location
411 East Vaughn Ave.
Suite 201
Ruston, LA 71270
Mailing address
411 East Vaughn Ave.
Suite 201
Ruston, LA 71270
Phone (318) 255-3223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33779 | Other | LA | CONTROLLED SUBSTANCE |
| MD.201086 | Other | LA | LA LICENSE NUMBER |
Other names 1
- Obstetrics & Gynecology of Ruston
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1013013408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 EAST VAUGHN AVE.",
"address_2": "SUITE 201",
"city": "RUSTON",
"state": "LA",
"postal_code": "71270",
"telephone_number": "318-255-3223",
"fax_number": "318-255-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 EAST VAUGHN AVE.",
"address_2": "SUITE 201",
"city": "RUSTON",
"state": "LA",
"postal_code": "71270",
"telephone_number": "318-255-3223",
"fax_number": "318-255-3181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LGH OB-GYN CLINIC 2",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "318-254-2453"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD.201086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE",
"identifier": "33779",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA LICENSE NUMBER",
"identifier": "MD.201086",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Obstetrics & Gynecology of Ruston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.