Active NPI
Ikemd, a Professional Medical Corporation
- Community Health Clinic/Center
- New Orleans, LA
National Provider Identifier
1124385760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- MD.205087
- Legal business name
- IKEMD, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 2547 Palmyra St
Suite 101
New Orleans, LA 70119-6427 - Phone
- (504) 754-2388
- Fax
- (504) 754-7669
- NPI assigned
- Apr 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul A.R. Ikemire, M.D.
- Title
- Medical Director
- Phone
- (504) 717-3050
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MD.205087 | LA | |
| Community Health Clinic/Center | 261QC1500X | MD.205087 | LA | Primary |
| Primary Care Clinic/Center | 261QP2300X | MD.205087 | LA |
Addresses
Primary practice location
2547 Palmyra St
Suite 101
New Orleans, LA 70119-6427
Mailing address
2547 Palmyra St
Suite 101
New Orleans, LA 70119-6427
Phone (504) 754-2388
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334880000000",
"number": "1124385760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 PALMYRA ST",
"address_2": "SUITE 101",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196427",
"telephone_number": "504-754-2388",
"fax_number": "504-754-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2547 PALMYRA ST",
"address_2": "SUITE 101",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196427",
"telephone_number": "504-754-2388",
"fax_number": "504-754-7669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IKEMD, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-20",
"last_updated": "2012-04-20",
"status": "A",
"authorized_official_last_name": "IKEMIRE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A.R.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "504-717-3050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": "MD.205087",
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "LA",
"license": "MD.205087",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "LA",
"license": "MD.205087",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.