NPIMap

Organization Active NPI

GPN-Leesville, LLC

  • Hospitalist Physician
  • Leesville, LA
National Provider Identifier
1013494186
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
GPN-LEESVILLE, LLC
Practice address
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Phone
(337) 239-9041
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chris Beddoe
Title
Ceo
Phone
(318) 256-5691

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU
Diagnostic Radiology Physician 2085R0202X NU
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

1020 W Fertitta Blvd
Leesville, LA 71446-4645

Mailing address

PO Box 722345
Norman, OK 73070-8774

Other practice location 1

1201 W Fertitta Blvd
Leesville, LA 71446-4637
Phone (337) 239-0064

Other practice location 2

1112 Port Arthur Ter
Leesville, LA 71446-4656
Phone (337) 238-9133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1013494186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722345",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464645",
            "telephone_number": "337-239-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W Fertitta Blvd",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464637",
            "country_code": "US",
            "telephone_number": "337-239-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 Port Arthur Ter",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464656",
            "country_code": "US",
            "telephone_number": "337-238-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GPN-LEESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-256-5691"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.