NPIMap

Organization Active NPI

Cynthia P. Bimle, MD, Apmc

  • Pediatrics Physician
  • West Monroe, LA
National Provider Identifier
1083156632
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12124R Issued in LA
Legal business name
CYNTHIA P. BIMLE, MD, APMC
Practice address
107 Contempo Ave
West Monroe, LA 71291-5382
Phone
(318) 324-0111
Fax
(318) 324-9679
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Veronica J. Holstead
Title
Office Manager
Phone
(318) 324-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 12124R LA Primary

Addresses

Primary practice location

107 Contempo Ave
West Monroe, LA 71291-5382

Mailing address

107 Contempo Ave
West Monroe, LA 71291-5382
Phone (318) 324-0111

Other identifiers 1

IdentifierTypeStateIssuer
1697117MedicaidLA

National Provider Directory

National Provider Directory

Locations

107 Contempo Ave
Ste 2
West Monroe, LA 71291
Phone (318) 324-0111

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1083156632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915382",
            "telephone_number": "318-324-0111",
            "fax_number": "318-324-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915382",
            "telephone_number": "318-324-0111",
            "fax_number": "318-324-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA P. BIMLE, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "HOLSTEAD",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-324-0111"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "12124R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697117",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.