Heartwise of Alexandria LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

018528 Issued in LA

Legal business name

HEARTWISE OF ALEXANDRIA LLC

Practice address

301 4TH St
Suite a
Alexandria, LA 71301-8423

Phone

(318) 709-9051

Fax

(866) 815-4529

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Screpetis, M.D.

Title

Member

Phone

(318) 445-9823

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1174867402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 4TH ST",
            "address_2": "BOX 30134",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018423",
            "telephone_number": "318-709-9051",
            "fax_number": "866-815-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 4TH ST",
            "address_2": "SUITE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018423",
            "telephone_number": "318-709-9051",
            "fax_number": "866-815-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTWISE OF ALEXANDRIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "SCREPETIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-445-9823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "018528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.