M. Angela Mayeux, MD Apmc

Primary specialty

SpecialistTaxonomy code 174400000X

License

019577 Issued in LA

Legal business name

M. ANGELA MAYEUX, MD APMC

Practice address

1000 West Pinhook Rd
Ste 305
Lafayette, LA 70503

Phone

(337) 235-1600

Fax

(337) 235-1604

NPI assigned

Jan 3, 2007

Reactivated

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Mary Angela Mayeux, MD

Title

President

Phone

(337) 235-1600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1306903752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WEST PINHOOK RD",
            "address_2": "STE 305",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-235-1600",
            "fax_number": "337-235-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WEST PINHOOK RD",
            "address_2": "STE 305",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-235-1600",
            "fax_number": "337-235-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ANGELA MAYEUX, MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-06-18",
        "deactivation_date": "2008-12-17",
        "reactivation_date": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "MAYEUX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-235-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "019577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448044",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.