Organization Active NPI

Heinen Obstetrics and Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Eunice, LA
National Provider Identifier
1093904708
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
023109 Issued in LA
Legal business name
HEINEN OBSTETRICS AND GYNECOLOGY LLC
Practice address
3448 Highway 190
Eunice, LA 70535-5100
Phone
(337) 546-6237
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mrs. Paula Sattler Fuselier
Title
Office Manager
Phone
(337) 546-6237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 023109 LA Primary

Addresses

Primary practice location

3448 Highway 190
Eunice, LA 70535-5100

Mailing address

3448 Highway 190
Eunice, LA 70535-5100
Phone (337) 546-6237

Other identifiers 1

IdentifierTypeStateIssuer
1445312MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060117000398 LA Part B Supplier - Clinic/Group Practice 2769406883 Receives reassigned benefits from 4 practitioners
Practice locations: Eunice, LA

National Provider Directory

National Provider Directory

Locations

211 4th St
#30159
Alexandria, LA 71301

437 Moosa Blvd
Ste C
Eunice, LA 70535
Phone (318) 457-4183

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1093904708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 HIGHWAY 190",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355100",
            "telephone_number": "337-546-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 HIGHWAY 190",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355100",
            "telephone_number": "337-546-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINEN OBSTETRICS AND GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "FUSELIER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "SATTLER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-546-6237",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "023109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445312",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.