Neil Halim Fairfield Family Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP08906 Issued in LA

Legal business name

NEIL HALIM FAIRFIELD FAMILY CLINIC

Practice address

1860 Fairfield Ave
Shreveport, LA 71101-4431

Phone

(318) 675-1313

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By 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

Cinder Puckett

Title

Office Manager

Phone

(318) 675-1313

Specialties & licenses 1

Addresses

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.

• Neil L Halim, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1689623548
  NPD

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1275075129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BLUE FOX CIR",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710377707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014431",
            "telephone_number": "318-675-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL HALIM FAIRFIELD FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "CINDER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-675-1313"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "AP08906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Neffendorf, MS,ATC,LAT
• Gerardo Negron, MD
• Hector Negron, M.D.
• Tracy Neighbors
• Neil Halim Fairfield Family Clinic
• Rhonda Neil, MSC/PLPC
• Nelson & Nelson Apmc
• Amaria Nelson
• Brenda Lavon Nelson
• David Lee Nelson, M.D.

• Primary Care Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.