Organization Active NPI

Jesus L. Chua MD a Professional Medical Corporation

  • Clinic/Center
  • Franklin, LA
National Provider Identifier
1255657946
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
09772R Issued in LA
Legal business name
JESUS L. CHUA MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
602 Haifleigh St
Franklin, LA 70538-3731
Phone
(337) 828-4037
Fax
(337) 828-7740
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Dr. Jesus Lao Chua, MD
Title
President
Phone
(337) 828-4037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 09772R LA Primary

Addresses

Primary practice location

602 Haifleigh St
Franklin, LA 70538-3731

Mailing address

602 Haifleigh St
Franklin, LA 70538-3731
Phone (337) 828-4037

Other identifiers 1

IdentifierTypeStateIssuer
1969036MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1255657946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 HAIFLEIGH ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383731",
            "telephone_number": "337-828-4037",
            "fax_number": "337-828-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HAIFLEIGH ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383731",
            "telephone_number": "337-828-4037",
            "fax_number": "337-828-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS L. CHUA MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "LAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-828-4037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "09772R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1969036",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.