New Haven Family Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEW HAVEN FAMILY MEDICINE

Practice address

333 S Ryan St
Suite 120
Lake Charles, LA 70601-5821

Phone

(337) 493-8480

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Anthony Kehinde Adeosun, MDNPI 1568570653

Title

Owner

Phone

(337) 493-8480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony K Adeosun, M.D.

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1568570653
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1174773881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S RYAN ST",
            "address_2": "SUITE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015821",
            "telephone_number": "337-493-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S RYAN ST",
            "address_2": "SUITE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015821",
            "telephone_number": "337-493-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "ADEOSUN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "KEHINDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-493-8480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurosurgery Consultants, LLC
• Teresa Anne Nevells, BS
• New Beginnings at Lake Charles LLC
• New Beginnings at Lake Charles, LLC
• New Beginnings Community Outreach Center
• New Haven MHT LLC
• New Horizons Counseling Center, LLC
• New Leaf Behavioral Health Clinicians, LLC
• Kara Elizabeth Newingham, LPC-S
• Alaina Michelle Newman, DPT

• Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.