Medical Pioneers, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MEDICAL PIONEERS, LLC

Practice address

100 Mariners Blvd Ste 1B
Mandeville, LA 70448-6815

Phone

(985) 400-3210

Fax

(855) 553-6931

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Mohammad Almubaslat

Title

Ceo

Phone

(985) 273-0880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1063071918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARINERS BLVD STE 1B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704486815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARINERS BLVD STE 1B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704486815",
            "telephone_number": "985-400-3210",
            "fax_number": "855-553-6931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 S Tyler St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704332330",
            "country_code": "US",
            "telephone_number": "985-273-0880",
            "fax_number": "855-553-6931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL PIONEERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "ALMUBASLAT",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-273-0880"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Conrad McVea, MD
• David Scott McWilliams, MPT
• Yancey Rizzo McWilliams, PT
• Natalie Mecklenborg, PHARM D
• Med-Peds Associates Apmc
• Lori Melancon
• Lisa G. Melek, FNP
• James Melton
• Jeff T Menard
• Renee Kuulei Mendenhall, LPN

• Multi-Specialty Clinic/Center in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.