Organization Active NPI

Houma Family Practice Clinic Apmc

  • Family Medicine Physician
  • Houma, LA
National Provider Identifier
1194874230
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OC00447 Issued in LA
Legal business name
HOUMA FAMILY PRACTICE CLINIC APMC
Practice address
606 Liberty St
Houma, LA 70360-4622
Phone
(985) 872-3000
Fax
(985) 873-7280
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Mark A Walker, MDNPI 1245389394
Title
Ceo Owner
Phone
(985) 872-3000

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: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OC00447 LA Primary

Addresses

Primary practice location

606 Liberty St
Houma, LA 70360-4622

Mailing address

606 Liberty St
Houma, LA 70360-4622
Phone (985) 872-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110209000850 LA Part B Supplier - Clinic/Group Practice 4688854557 Receives reassigned benefits from 3 practitioners
Practice locations: Houma, 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
19D0681470Houma Family Practice Clinic606 Liberty Street, Houma, LA 70360Provider-performed microscopyFeb 28, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1194874230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604622",
            "telephone_number": "985-872-3000",
            "fax_number": "985-873-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604622",
            "telephone_number": "985-872-3000",
            "fax_number": "985-873-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUMA FAMILY PRACTICE CLINIC APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "985-872-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "OC00447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.