Prairieville Emergency Physicians, PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PRAIRIEVILLE EMERGENCY PHYSICIANS, PLLC

Practice address

37358 Market Place Dr.
Prairieville, LA 70769

Phone

(225) 755-9765

NPI assigned

Nov 1, 2018

Last updated

May 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary-Katherine Moore

Title

Executive Director

Phone

(225) 755-9765

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John J McLean, MD

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1659311694
  NPD

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1245707884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37358 MARKET PLACE DR.",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37358 MARKET PLACE DR.",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-755-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIEVILLE EMERGENCY PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARY-KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-755-9765"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Pike, LOTR
• Cori Planchard
• Angelle Marie Plauche, M.C.D., CCC-SLP
• Rene August Ponsaa III, ATC, LAT
• Jasmine Porter
• Prairieville General Hospital, LLC (Prairieville Family Hospital)
• Prairieville General Hospital, LLC
• Prairieville Pharmacy LLC (Prairieville Pharmacy)
• Premier Health & Wellness Group, LLC
• Premier South Rehabilitation Services, LLC

• Emergency Medicine Physician in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.