Organization Active NPI

Goux Family Medicine Ctr LLC

  • Primary Care Clinic/Center
  • Marksville, LA
National Provider Identifier
1215067905
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD201185 Issued in LA
Legal business name
GOUX FAMILY MEDICINE CTR LLC
Practice address
4239 Highway 1192
Suite 100
Marksville, LA 71351-4711
Phone
(318) 253-7511
Fax
(318) 253-7513
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent Paul Goux, M.D.
Title
Owner
Phone
(318) 253-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD201185 LA Primary

Addresses

Primary practice location

4239 Highway 1192
Suite 100
Marksville, LA 71351-4711

Mailing address

4239 Highway 1192
Suite 100
Marksville, LA 71351-4711
Phone (318) 253-7511

Other identifiers 1

IdentifierTypeStateIssuer
1454036MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215067905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192",
            "address_2": "SUITE 100",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514711",
            "telephone_number": "318-253-7511",
            "fax_number": "318-253-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192",
            "address_2": "SUITE 100",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514711",
            "telephone_number": "318-253-7511",
            "fax_number": "318-253-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUX FAMILY MEDICINE CTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUX",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-253-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD201185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454036",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.