Active NPI
Western Louisiana Internal Medicine
- Specialist
- Leesville, LA
National Provider Identifier
1215915202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 14565R
- Legal business name
- WESTERN LOUISIANA INTERNAL MEDICINE
- Practice address
- 1015 W Fertitta Blvd
Leesville, LA 71446-4646 - Phone
- (337) 239-4130
- Fax
- (337) 238-4104
- NPI assigned
- Jan 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hemant Pande, M.D.
- Title
- President
- Phone
- (337) 239-4130
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 14565R | LA | Primary |
Addresses
Primary practice location
1015 W Fertitta Blvd
Leesville, LA 71446-4646
Mailing address
1015 W Fertitta Blvd
Leesville, LA 71446-4646
Phone (337) 239-4130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14565R | Other | LA | LA. STATE LICENSE # |
| 1127647 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1015 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-2207
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": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1215915202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W FERTITTA BLVD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464646",
"telephone_number": "337-239-4130",
"fax_number": "337-238-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W FERTITTA BLVD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464646",
"telephone_number": "337-239-4130",
"fax_number": "337-238-4104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN LOUISIANA INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "PANDE",
"authorized_official_first_name": "HEMANT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-239-4130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "14565R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA. STATE LICENSE #",
"identifier": "14565R",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1127647",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.