NPIMap

Organization Active NPI

Northshore OB-GYN, Apmc

  • Specialist
  • Madisonville, LA
National Provider Identifier
1013972843
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
07195R Issued in LA
Legal business name
NORTHSHORE OB-GYN, APMC
Practice address
393 Highway 21
Suite 500-a
Madisonville, LA 70447-3407
Phone
(985) 845-3564
Fax
(985) 845-3705
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Oscar M Mendez, M.D.
Title
President/Physician
Phone
(985) 845-3564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 07195R LA Primary

Addresses

Primary practice location

393 Highway 21
Suite 500-a
Madisonville, LA 70447-3407

Mailing address

393 Highway 21
Suite 500-a
Madisonville, LA 70447-3407
Phone (985) 845-3564

Other identifiers 1

IdentifierTypeStateIssuer
1941077MedicaidLA

National Provider Directory

National Provider Directory

Locations

393 Highway 21
Ste 500A
Madisonville, LA 70447
Phone (985) 845-3564

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1013972843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 HIGHWAY 21",
            "address_2": "SUITE 500-A",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473407",
            "telephone_number": "985-845-3564",
            "fax_number": "985-845-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 HIGHWAY 21",
            "address_2": "SUITE 500-A",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473407",
            "telephone_number": "985-845-3564",
            "fax_number": "985-845-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE OB-GYN, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "985-845-3564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "07195R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941077",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.