Medical & Surgical Clinic a Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL & SURGICAL CLINIC A MEDICAL

Practice address

1003 South Spruce St
Vivian, LA 71082-3200

Phone

(318) 375-3239

Fax

(318) 375-2755

NPI assigned

Jul 1, 2006

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela R. Hughes

Title

Administrator

Phone

(318) 375-3239

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Member Of

  NPD member

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1093744146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 SOUTH SPRUCE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823200",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SOUTH SPRUCE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823200",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & SURGICAL CLINIC A MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-375-3239"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942995",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Mehia Leopoldo-Hill
• Life Journey
• Walker May
• James R McCormick, DDS
• Steven L McRae
• Lauretta Montgomery
• Nexion Health at Vivian, Inc. (Vivan Healthcare Center)
• Christian Nguyen
• North Caddo Anesthesia Billing
• North Caddo Drug

• Family Medicine Physician in Vivian, LA
• Providers in Vivian, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.