NPIMap

Organization Active NPI

Kathy L. Chauvin, M.D.

  • Specialist
  • Mandeville, LA
National Provider Identifier
1124204649
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KATHY L. CHAUVIN, M.D.
Practice address
804 Heavens Dr Ste 105
Mandeville, LA 70471-2857
Phone
(985) 845-2677
Fax
(985) 845-2277
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Kathy L Chauvin, M.D.NPI 1568422145
Title
Physician
Phone
(985) 845-2677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

804 Heavens Dr Ste 105
Mandeville, LA 70471-2857

Mailing address

804 Heavens Dr Ste 105
Mandeville, LA 70471-2857
Phone (985) 845-2677

Other identifiers 1

IdentifierTypeStateIssuer
1490610MedicaidLA

Other names 1

  • Chauvin Medical Clinic, apmc Doing business as

National Provider Directory

National Provider Directory

Locations

804 Heavens Dr
Ste 105
Mandeville, LA 70471
Phone (985) 845-2677

Practitioners & affiliated clinicians

Practitioners 6

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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1124204649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HEAVENS DR STE 105",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712857",
            "telephone_number": "985-845-2677",
            "fax_number": "985-845-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HEAVENS DR STE 105",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712857",
            "telephone_number": "985-845-2677",
            "fax_number": "985-845-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY L. CHAUVIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "CHAUVIN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "985-845-2677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490610",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chauvin Medical Clinic, apmc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.