John J Mickey, MD, Apmc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

14418 Issued in LA

Legal business name

JOHN J MICKEY, MD, APMC

Practice address

110 Hospital Dr
Lafayette, LA 70503-2819

Phone

(337) 232-2900

Fax

(337) 232-2990

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Marie Thomassee

Title

Manager

Phone

(337) 232-2900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1285794370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-232-2900",
            "fax_number": "337-232-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-232-2900",
            "fax_number": "337-232-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J MICKEY, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "THOMASSEE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-232-2900"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "14418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.