Joe Ben Holden M.D., LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0079577 Issued in LA

Legal business name

JOE BEN HOLDEN M.D., LLC

Practice address

421 North Avenue F
Crowley, LA 70537-2098

Phone

(337) 788-0832

Fax

(337) 783-6210

NPI assigned

Jun 22, 2009

Organization subpart

Yes

Parent organization

JOE BEN HOLDEN M.D., LLCAs reported in NPPES

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

Authorized official

Name

Mr. Joe B Holden, M.D.

Title

Owner/Sole Proprietor/Physician

Phone

(337) 788-0832

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Joe Ben Holden MD LLC

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1083841688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NORTH AVENUE F",
            "address_2": "P.O. BOX 2098",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705372098",
            "telephone_number": "337-788-0832",
            "fax_number": "337-783-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NORTH AVENUE F",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705372098",
            "telephone_number": "337-788-0832",
            "fax_number": "337-783-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE BEN HOLDEN M.D., LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOE BEN HOLDEN M.D., LLC",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR/PHYSICIAN",
        "authorized_official_telephone_number": "337-788-0832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "0079577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427020825",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Crowley, LA
• Providers in Crowley, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.