Organization Active NPI

Harvey Medcare LLC

  • Adolescent Medicine (Internal Medicine) Physician
  • Harvey, LA
National Provider Identifier
1154464451
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Legal business name
HARVEY MEDCARE LLC
Practice address
3709 Westbank Expy
Suite 1B
Harvey, LA 70058-2600
Phone
(504) 348-2310
Fax
(504) 348-1942
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Mrs. Tram Vu Jacobs
Title
Assistant
Phone
(504) 348-2310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X Primary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X

Addresses

Primary practice location

3709 Westbank Expy
Suite 1B
Harvey, LA 70058-2600

Mailing address

3709 Westbank Expy
Suite 1B
Harvey, LA 70058-2600
Phone (504) 348-2310

Other identifiers 1

IdentifierTypeStateIssuer
1422321MedicaidLA

National Provider Directory

National Provider Directory

Locations

3709 Westbank Expy
Ste 1B
Harvey, LA 70058
Phone (504) 348-2310

Practitioners & affiliated clinicians

Practitioners 2

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1154464451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 WESTBANK EXPY",
            "address_2": "SUITE 1B",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582600",
            "telephone_number": "504-348-2310",
            "fax_number": "504-348-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 WESTBANK EXPY",
            "address_2": "SUITE 1B",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582600",
            "telephone_number": "504-348-2310",
            "fax_number": "504-348-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY MEDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "TRAM",
        "authorized_official_middle_name": "VU",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "504-348-2310",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1422321",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.