Organization Active NPI

David M. Remedios Apmc

  • Clinic/Center
  • Alexandria, LA
National Provider Identifier
1164620357
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DAVID M. REMEDIOS APMC
Practice address
5615 Jackson Street Ext
Building E.
Alexandria, LA 71303-2326
Phone
(318) 442-6989
Fax
(318) 442-7123
NPI assigned
Jul 10, 2007
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. David Manuel Remedios, MDNPI 1518954833
Title
Ceo
Phone
(318) 442-6989

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5615 Jackson Street Ext
Building E.
Alexandria, LA 71303-2326

Mailing address

5615 Jackson Street Ext
Building E.
Alexandria, LA 71303-2326
Phone (318) 442-6989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040519000065 LA Part B Supplier - Clinic/Group Practice 2567453657 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

5615 Jackson St
#E
Alexandria, LA 71303
Phone (317) 442-6989

5615 Jackson Street Ext
#E
Alexandria, LA 71303
Phone (317) 442-6989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1164620357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 JACKSON STREET EXT",
            "address_2": "BUILDING E.",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032326",
            "telephone_number": "318-442-6989",
            "fax_number": "318-442-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 JACKSON STREET EXT",
            "address_2": "BUILDING E.",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032326",
            "telephone_number": "318-442-6989",
            "fax_number": "318-442-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. REMEDIOS APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "REMEDIOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-442-6989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.