Active NPI
Kevin M Plaisance M D LLC
- Obstetrics & Gynecology Physician
- Covington, LA
National Provider Identifier
1053582486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- KEVIN M PLAISANCE M D LLC
- Practice address
- 200 Greenbriar Blvd
Covington, LA 70433-7235 - Phone
- (985) 893-3777
- NPI assigned
- Mar 13, 2008
- 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
- Kevin Michael Plaisiance, M D
- Title
- Owner
- Phone
- (985) 893-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
200 Greenbriar Blvd
Covington, LA 70433-7235
Mailing address
200 Greenbriar Blvd
Covington, LA 70433-7235
Phone (985) 893-3777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
190 Greenbrier Blvd
Covington, LA 70433
Phone (504) 645-2900
200 Greenbrier Blvd
Covington, LA 70433
Phone (985) 893-3777
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Madisonville, LA
- NPI 1265932974
-
- Obstetrics & Gynecology Physician
- Covington, LA
- NPI 1528103280
-
- Obstetrics & Gynecology Physician
- Covington, LA
- NPI 1558535708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666742400000",
"number": "1053582486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GREENBRIAR BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337235",
"telephone_number": "985-893-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GREENBRIAR BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337235",
"telephone_number": "985-893-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN M PLAISANCE M D LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A",
"authorized_official_last_name": "PLAISIANCE",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-893-3777",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.