Organization Active NPI

LGH OB-GYN Clinic 2

  • Obstetrics & Gynecology Physician
  • Ruston, LA
National Provider Identifier
1013013408
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.201086 Issued in LA
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
33779OtherLACONTROLLED SUBSTANCE
MD.201086OtherLALA LICENSE NUMBER

Other names 1

  • Obstetrics & Gynecology of Ruston Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.