Active NPI
Rogelio a. Casama, MD, Apmc
- Internal Medicine Physician
- Bogalusa, LA
National Provider Identifier
1073880365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 011298
- Legal business name
- ROGELIO A. CASAMA, MD, APMC
- Practice address
- 2807 S Columbia St
Bogalusa, LA 70427-7915 - Phone
- (985) 735-8382
- Fax
- (985) 735-9075
- NPI assigned
- Nov 30, 2011
- 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
- Mrs. Julie C Tynes
- Title
- Administrator
- Phone
- (985) 735-8382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 011298 | LA | Primary |
Addresses
Primary practice location
2807 S Columbia St
Bogalusa, LA 70427-7915
Mailing address
PO Box 220
Bogalusa, LA 70429-0220
Phone (985) 735-8382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1106755 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
2807 S Columbia St
Bogalusa, LA 70427
Phone (985) 730-7310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bogalusa, LA
- NPI 1033211479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1073880365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704290220",
"telephone_number": "985-735-8382",
"fax_number": "985-735-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 S COLUMBIA ST",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704277915",
"telephone_number": "985-735-8382",
"fax_number": "985-735-9075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGELIO A. CASAMA, MD, APMC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "TYNES",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "985-735-8382",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "011298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1106755",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.