Organization Active NPI

Medical Associates of Central Louisiana, LLC

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1174824031
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ASSOCIATES OF CENTRAL LOUISIANA, LLC
Practice address
3802 Prescott Rd
Alexandria, LA 71301-3731
Phone
(318) 487-6060
Fax
(318) 880-0359
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Ms. Cynthia Washington
Title
Officer Manager
Phone
(318) 448-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3802 Prescott Rd
Alexandria, LA 71301-3731

Mailing address

3717 Prescott Rd
Alexandria, LA 71301-3730
Phone (318) 487-6060

National Provider Directory

National Provider Directory

Locations

3717 Prescott Rd
Alexandria, LA 71301
Phone (318) 448-1700

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1174824031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 PRESCOTT RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013730",
            "telephone_number": "318-487-6060",
            "fax_number": "318-880-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 PRESCOTT RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013731",
            "telephone_number": "318-487-6060",
            "fax_number": "318-880-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF CENTRAL LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "318-448-1077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Jan 26, 2011; 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.