NPIMap

Organization Active NPI

Medical Managers

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1154048866
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL MANAGERS
Doing business as
Hospital Internal Medicine Group
Practice address
95 Judge Tanner Blvd
Covington, LA 70433-7500
Phone
(985) 869-7838
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Mr. Stephen Nathaniel Drake, RN
Title
Coo
Phone
(985) 869-7838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

95 Judge Tanner Blvd
Covington, LA 70433-7500

Mailing address

1170 W Causeway Approach
Mandeville, LA 70471-3038
Phone (985) 869-7838

Other names 1

  • Hospital Internal Medicine Group Doing business as

National Provider Directory

National Provider Directory

Locations

1170 W Causeway Approach
Mandeville, LA 70471
Phone (985) 288-0034

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1154048866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 W CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713038",
            "telephone_number": "985-869-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 JUDGE TANNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337500",
            "telephone_number": "985-869-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "985-869-7838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Internal Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.