NPIMap

Organization Active NPI

Pediatric Associates of Denham Springs

  • Pediatrics Physician
  • Denham Springs, LA
National Provider Identifier
1134565112
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
022406 Issued in LA
Legal business name
PEDIATRIC ASSOCIATES OF DENHAM SPRINGS
Practice address
1211 N Range Ave
Suite D
Denham Springs, LA 70726-2428
Phone
(225) 933-0090
Fax
(225) 665-0055
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Brian Edward Zganjar, MD
Title
Owner/MD
Phone
(225) 933-0090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 022406 LA Primary
Pediatric Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0200X AP07255 LA

Addresses

Primary practice location

1211 N Range Ave
Suite D
Denham Springs, LA 70726-2428

Mailing address

1211 N Range Ave
Suite D
Denham Springs, LA 70726-2428
Phone (225) 933-0090

National Provider Directory

National Provider Directory

Locations

1211 N Range Ave
Ste D
Denham Springs, LA 70726
Phone (225) 667-4999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23028/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1134565112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N RANGE AVE",
            "address_2": "SUITE D",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262428",
            "telephone_number": "225-933-0090",
            "fax_number": "225-665-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N RANGE AVE",
            "address_2": "SUITE D",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262428",
            "telephone_number": "225-933-0090",
            "fax_number": "225-665-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF DENHAM SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "ZGANJAR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "225-933-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "022406",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP07255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.