Tawfik Benghozi a Professional Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TAWFIK BENGHOZI A PROFESSIONAL MEDICAL CORPORATION

Practice address

5920 Coliseum Blvd
Alexandria, LA 71303-3714

Phone

(318) 443-9339

Fax

(318) 443-9116

NPI assigned

Dec 30, 2014

Last updated

Dec 30, 2014By 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

Mrs. Debbie Walters

Title

Office Manager

Phone

(318) 443-9339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

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.

• Christina Norlander Brister, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
  • NPI 1487885034
  Medicare reassignment NPD
• Tawfik M. Mukhtar-Benghozi

  • Addiction Psychiatry Physician
  • Alexandria, LA
  • NPI 1790774081
  Medicare reassignment NPD
• Oladapo Folarin, M. D.

  • Psychiatry Physician
  • Alexandria, LA
  • NPI 1346206349
  NPD (past)

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1275921272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033714",
            "telephone_number": "318-443-9339",
            "fax_number": "318-443-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033714",
            "telephone_number": "318-443-9339",
            "fax_number": "318-443-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAWFIK BENGHOZI A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-443-9339",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Layne Tassin, MD
• Stephanie Tassin, SLP
• Van Nathan Tassin, RPH
• Ashtin Tate
• Muhammad A Tauseef, M.D.
• Taylor Group Home
• Christine Elizabeth Taylor, MD
• Lauren Taylor
• Melanie Leonard Taylor, APRN, NP-C
• Natasia Leann Taylor, LMSW

• Psychiatry Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.