Ascension Medical Clinic, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD09828R Issued in LA

Legal business name

ASCENSION MEDICAL CLINIC, LLC

Practice address

214 S Burnside Ave Ste a
Gonzales, LA 70737-3463

Phone

(225) 647-6636

Fax

(225) 647-3849

NPI assigned

May 29, 2008

Last updated

May 29, 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

Dr. Steven L Holmes, M.D.

Title

General Practioner

Phone

(225) 647-6636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1104084938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S BURNSIDE AVE STE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373463",
            "telephone_number": "225-647-6636",
            "fax_number": "225-647-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S BURNSIDE AVE STE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373463",
            "telephone_number": "225-647-6636",
            "fax_number": "225-647-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL PRACTIONER",
        "authorized_official_telephone_number": "225-647-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD09828R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ascension Behavioral Hospital, LLC
• Ascension Care Center
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• Ascension Dental Associates, LLC
• Ascension Emergency Physicians LLC
• Ascension Oaks Nursing & Rehabilitation Center, LLC (Ascension Oaks Nursing & Rehabilitation Center)
• Ascension Open MRI, LLC.
• Ascension Parish Mental Health and Addictive Disorders Clinic
• Ascension Surgical Associates, LLC
• Ascension Wellness Center LLC

• General Practice Physician in Gonzales, LA
• Providers in Gonzales, 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 May 29, 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.