NPIMap

Organization Active NPI

Alexandria Womens Center a Medical

  • Obstetrics Physician
  • Alexandria, LA
National Provider Identifier
1295872992
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
ALEXANDRIA WOMENS CENTER A MEDICAL
Practice address
3304 Masonic Drive
Suite 4001
Alexandria, LA 71301-9998
Phone
(318) 443-7222
Fax
(318) 443-7641
NPI assigned
Jan 31, 2007
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Dr. Glenn Richard Aucoin, M.D.NPI 1316926280
Title
Vice President/Treasurer
Phone
(318) 443-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

3304 Masonic Drive
Suite 4001
Alexandria, LA 71301-9998

Mailing address

P.O. Box 13318
Suite 410
Alexandria, LA 71315-9998
Phone (318) 443-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000954 LA Part B Supplier - Clinic/Group Practice 4880682061 Receives reassigned benefits from 6 practitioners
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

3311 Prescott Rd
Ste 401
Alexandria, LA 71301
Phone (318) 443-7222

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1295872992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 13318",
            "address_2": "SUITE 410",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713159998",
            "telephone_number": "318-443-7222",
            "fax_number": "318-443-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 MASONIC DRIVE",
            "address_2": "SUITE 4001",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713019998",
            "telephone_number": "318-443-7222",
            "fax_number": "318-443-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA WOMENS CENTER A MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "AUCOIN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "318-443-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.