Choca MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

208224 Issued in LA

Legal business name

CHOCA MD LLC

Practice address

418 Albertson Pkwy
Broussard, LA 70518-4971

Phone

(337) 237-6444

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Pumarol -Castillo, MDNPI 1285981183

Title

Sole Member/Owner

Phone

(337) 534-9286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• Edgar Pumarol Castillo, M.D.

  • Hospitalist Physician
  • Lafayette, LA
  • NPI 1285981183

  Internal Medicine, LA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1235670993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82281",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705982281",
            "telephone_number": "337-534-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 ALBERTSON PKWY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184971",
            "telephone_number": "337-237-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "PUMAROL -CASTILLO",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "337-534-9286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "208224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Calais-Kelly, PMHNP-BC
• Jentell Shonta Calais
• Gene Thomas Callais Jr., MD
• Jasmine Campbell
• Care Medical, LLC
• Tawanna Chretien, LPN
• Victoria Duyen N Chu, PHARMD
• Christopher Jeffery Cigainero
• Kelli M Cocke, M.D.
• Courtney K Collier, DPT

• All providers in Broussard, LA
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.