Westside Family Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23650 Issued in LA

Legal business name

WESTSIDE FAMILY HEALTHCARE LLC

Practice address

58155 Chinn St
Suite B
Plaquemine, LA 70764-3607

Phone

(225) 687-8838

Fax

(225) 687-8836

NPI assigned

Jul 25, 2008

Last updated

Nov 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andriette Martin Fitch, MD

Title

Owner/Physician

Phone

(225) 687-8838

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1164687422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58155 CHINN ST",
            "address_2": "SUITE B",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643607",
            "telephone_number": "225-687-8838",
            "fax_number": "225-687-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58155 CHINN ST",
            "address_2": "SUITE B",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643607",
            "telephone_number": "225-687-8838",
            "fax_number": "225-687-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "ANDRIETTE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "225-687-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "23650",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "23650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446548",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE7061",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Frances R Wiggins, D.D.S.

• Internal Medicine Physician in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.