Organization Active NPI

Ikemd, a Professional Medical Corporation

  • Community Health Clinic/Center
  • New Orleans, LA
National Provider Identifier
1124385760
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
MD.205087 Issued in LA
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

Updated by the provider on Apr 20, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.