Mid City Specialty Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MID CITY SPECIALTY CENTER, LLC

Practice address

3600 Florida Blvd Ste 2000
Baton Rouge, LA 70806-3842

Phone

(225) 381-6701

Fax

(225) 381-6702

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

Heath Veuleman

Title

RCC

Phone

(318) 447-1598

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin V Weaver IV, M.D.

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1801112503
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1073026639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD STE 2000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-381-6701",
            "fax_number": "225-381-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD STE 2000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-381-6701",
            "fax_number": "225-381-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CITY SPECIALTY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "VEULEMAN",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "RCC",
        "authorized_official_telephone_number": "318-447-1598"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Michot, PHARMD
• Amanda Lynne Mickavicz Sickora
• Lauren Marcello Mickenheim, MSN, APRN, FNP-C
• David Fichter Mickey, MD
• Vanessa Lynette Mickles, PHARMD
• Mid-City Pharmacy
• Mid-City Primary Care Center
• Midcity Urgent Care Center Inc
• Jasmine Middelton
• Edward Middleton Jr., M.A., M.DIV., LPC

• Ambulatory Surgical Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.