Anthony J. Palazzo, M.D.,Apmc

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APO4688 Issued in LA

Legal business name

ANTHONY J. PALAZZO, M.D.,APMC

Doing business as

The Pediatric Clinic

Practice address

405 Avenue F
Bogalusa, LA 70427-3633

Phone

(985) 732-1568

Fax

(985) 732-4458

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Anthony Jude Palazzo, MDNPI 1063457554

Title

Owner

Phone

(985) 732-1568

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Pediatric Clinic Doing business as

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.

• Anthony Jude Palazzo, M.D.

  • Pediatric Adolescent Medicine Physician
  • Bogalusa, LA
  • NPI 1063457554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1285751362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704290370",
            "telephone_number": "985-732-1568",
            "fax_number": "985-732-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273633",
            "telephone_number": "985-732-1568",
            "fax_number": "985-732-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J. PALAZZO, M.D.,APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-732-1568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.07154R",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "APO4688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947717",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anchor Counseling LLC
• Garland Edward Anderson II, M.D.
• Glenna Anderson
• Angelle Escousse LCSW
• Anoop K Singh MD LLC
• Jayagopal Appurao, M.D.
• Leslie S Arceneaux, MSN, C-FNP, CDE
• Tekeisha Ard, MSW
• Henry Y Au, CRNA
• Shaul David Austin, LPC

• Pediatric Nurse Practitioner in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.