Active NPI
Joe Ben Holden M.D., LLC
- General Practice Physician
- Crowley, LA
National Provider Identifier
1154557312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0079577
- 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., LLC
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427020825 | Medicaid | LA |
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.
-
- General Practice Physician
- Crowley, LA
- NPI 1427020825
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.