Paradox Entertainment, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD.201213 Issued in LA

Legal business name

PARADOX ENTERTAINMENT, LLC

Practice address

2390 W Congress St
Lafayette, LA 70506-4205

Phone

(337) 261-6000

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan David Ingram, MD

Title

Owner/MD

Phone

(310) 717-8542

Specialties & licenses 1

Addresses

Other names 1

• Paradox, Inc Former legal business name

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1124310578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E SHANKLAND AVE",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464709",
            "telephone_number": "866-546-6643",
            "fax_number": "337-824-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064205",
            "telephone_number": "337-261-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADOX ENTERTAINMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "310-717-8542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.201213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradox, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vannasinh Panyanouvong
• Charles L. Papadakes, CRNA
• Rosie M Papion
• Laszlo Papp, MD
• Paradise Adhc
• Juan R Paredes, MD
• Parent Partners LLC
• Ashley Romero Parich, PA-C
• Parish Anesthesia Endoscopy of Lafayette, LLC
• Park Pediatric Dentistry, LLC

• Diagnostic Radiology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.