NPIMap

Organization Active NPI

Vinelco Physicians Associates LLC

  • Long Term Care Hospital
  • Bossier City, LA
National Provider Identifier
1174679625
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
11956R Issued in LA
Legal business name
VINELCO PHYSICIANS ASSOCIATES LLC
Practice address
4900 Medical Dr
Bossier City, LA 71112-4521
Phone
(318) 932-2081
Fax
(318) 932-2215
NPI assigned
Jan 26, 2007
Last updated
Sep 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Dr. Gavin Chico, M.D.NPI 1740261650
Title
Managing Partner
Phone
(318) 798-2399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 11956R LA Primary

Addresses

Primary practice location

4900 Medical Dr
Bossier City, LA 71112-4521

Mailing address

PO Box 53032
Shreveport, LA 71135-3032
Phone (318) 932-2081

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1174679625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53032",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711353032",
            "telephone_number": "318-932-2081",
            "fax_number": "318-932-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "318-932-2081",
            "fax_number": "318-932-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINELCO PHYSICIANS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "CHICO",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "318-798-2399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "11956R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.