Veterans Administration Medical Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD05460 Issued in RI

Legal business name

VETERANS ADMINISTRATION MEDICAL CENTER

Practice address

2495 Shreveport Hwy
Pineville, LA 71360-4044

Phone

(318) 473-0010

Fax

(318) 483-5065

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Marian Witoszka, M.D.

Title

Physician

Phone

(318) 473-0010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1134329451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "WITOSZKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MARIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-473-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "RI",
            "license": "MD05460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Raymond Vasquez Jr., PA-C
• Victor Johnson Vautrot, M.D.
• Gloria E Velez Acosta, DMD
• Deann Vessel, PHARM.D.
• Veteran'S Affairs Medical Center
• Veterans Administration Medical Center
• Victory Christian Outreach Center
• Wendy Vidrine, OTA
• Sheryl Ann Vigee, AU.D.
• Richard Villemarette, PT

• Medical Specialty Clinic/Center in Pineville, LA
• Providers in Pineville, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.