Active NPI
Harvey Medcare LLC
- Adolescent Medicine (Internal Medicine) Physician
- Harvey, LA
National Provider Identifier
1154464451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | Primary | ||
| Pediatric Adolescent Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1422321 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adolescent Medicine (Internal Medicine) Physician
- Harvey, LA
- NPI 1316094246
-
- Pediatrics Physician
- Harvey, LA
- NPI 1710099312
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.