Organization Active NPI

Reginald P Segar MD Inc

  • Family Medicine Physician
  • Eunice, LA
National Provider Identifier
1184728370
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
011877 Issued in LA
Legal business name
REGINALD P SEGAR MD INC
Practice address
631 West Maple Avenue
Eunice, LA 70535
Phone
(337) 546-0424
Fax
(337) 457-7989
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Reginald Patrick Segar, MDNPI 1720057417
Title
Owner
Phone
(337) 546-0424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 011877 LA Primary

Addresses

Primary practice location

631 West Maple Avenue
Eunice, LA 70535

Mailing address

PO Box 967
Eunice, LA 70535
Phone (337) 546-0424

Other identifiers 3

IdentifierTypeStateIssuer
1449351MedicaidLA
1126829MedicaidLA
S769OtherLADEPT HEALTH HOSPITALS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071022000292 LA Part B Supplier - Clinic/Group Practice 0941396956 Receives reassigned benefits from 1 practitioner
Practice locations: Eunice, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0461207Reginald Segar MD631 W Maple Ave, Eunice, LA 70535Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

631 W Maple Ave
Eunice, LA 70535
Phone (337) 546-0424

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1184728370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-546-0424",
            "fax_number": "337-457-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 WEST MAPLE AVENUE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-546-0424",
            "fax_number": "337-457-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINALD P SEGAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SEGAR",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-546-0424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "011877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449351",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126829",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT HEALTH HOSPITALS",
            "identifier": "S769",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.