Organization Active NPI

Wilkes Enterprises Healing Place Medical Center

Doing business as Healing Place Medical Center

  • Family Medicine Physician
  • Zachary, LA
National Provider Identifier
1114150174
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILKES ENTERPRISES HEALING PLACE MEDICAL CENTER
Doing business as
Healing Place Medical Center
Practice address
6110 Main St
Suite a
Zachary, LA 70791-4033
Phone
(225) 658-2036
Fax
(225) 658-9788
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Greta Wilkes, MD
Title
Physician
Phone
(225) 658-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6110 Main St
Suite a
Zachary, LA 70791-4033

Mailing address

PO Box 887
Zachary, LA 70791-0887
Phone (225) 658-2036

Other names 1

  • Healing Place Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1114150174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707910887",
            "telephone_number": "225-658-2036",
            "fax_number": "225-658-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 MAIN ST",
            "address_2": "SUITE A",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914033",
            "telephone_number": "225-658-2036",
            "fax_number": "225-658-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES ENTERPRISES HEALING PLACE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-658-2036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Place Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.