Organization Active NPI

Joe Ben Holden M.D., LLC

  • General Practice Physician
  • Crowley, LA
National Provider Identifier
1154557312
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0079577 Issued in LA
Legal business name
JOE BEN HOLDEN M.D., LLC
Practice address
421 North Avenue F
Crowley, LA 70527-2098
Phone
(337) 788-0832
Fax
(337) 783-6210
NPI assigned
Jun 2, 2009
Organization subpart
Yes
Parent organization
JOE BEN HOLDEN M.D., LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Mr. Joe B Holden, M.D.NPI 1427020825
Title
Owner/Sole Proprietor/Physician
Phone
(337) 788-0832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 0079577 LA Primary

Addresses

Primary practice location

421 North Avenue F
Crowley, LA 70527-2098

Mailing address

421 North Avenue F
P.O. Box 2098
Crowley, LA 70537-2098
Phone (337) 788-0832

Other identifiers 1

IdentifierTypeStateIssuer
1427020825MedicaidLA

National Provider Directory

National Provider Directory
Part of
Joe Ben Holden MD LLC

Practitioners & affiliated clinicians

Practitioners 1

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": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1154557312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NORTH AVENUE F",
            "address_2": "P.O. BOX 2098",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705372098",
            "telephone_number": "337-788-0832",
            "fax_number": "337-783-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NORTH AVENUE F",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705272098",
            "telephone_number": "337-788-0832",
            "fax_number": "337-783-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE BEN HOLDEN M.D., LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOE BEN HOLDEN M.D., LLC",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR/PHYSICIAN",
        "authorized_official_telephone_number": "337-788-0832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "0079577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427020825",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.