Evangeline MHT LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.013360 Issued in LA

Legal business name

EVANGELINE MHT LLC

Practice address

503 Jack Miller Rd
Suite a
Ville Platte, LA 70586-5607

Phone

(855) 860-2109

NPI assigned

May 12, 2014

Last updated

May 12, 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

Charles J Aswell IIINPI 1801842141

Title

Owner

Phone

(337) 363-7474

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.

• Charles Jesse Aswell III, MD

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1801842141
  Authorized official Same address or phone

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1295146322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DRIVE",
            "address_2": "SUITE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693379",
            "telephone_number": "972-616-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 JACK MILLER RD",
            "address_2": "SUITE A",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865607",
            "telephone_number": "855-860-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELINE MHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "ASWELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-363-7474",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.013360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline Council on Aging
• Evangeline Council on Aging, Inc.
• Evangeline Diagnostic Center LLC (Acadian Laboratory Services LLC)
• Evangeline Drug Store Inc
• Evangeline Medical & Nursing Supply, Inc.
• Evangeline Parish School Board
• Evangeline Parish School Board
• Evangeline Primary Care, LLC
• Evangeline Surgical Clinic LLC
• Evangleine Council on Aging

• Family Medicine Physician in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.