Om Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OM MEDICAL LLC

Doing business as

IMC of Covington

Practice address

706 W 15TH Ave
Covington, LA 70433-2416

Phone

(985) 338-2596

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Olivia McDonald

Title

NP/Owner

Phone

(318) 884-3840

Specialties & licenses 1

Addresses

Other names 1

• IMC of Covington Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1316652837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W 15TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W 15TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332416",
            "telephone_number": "985-338-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "318-884-3840"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "address_1": "706 W 15th Ave",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704332416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "IMC of Covington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard D Olinde, DDS
• Tiffany Oliver, PLPC
• Anna Olivier, OD
• Katie Olivier
• Karen Cooper Olmsted, CCC/SLP
• Oncology RX
• Opus Coalesce
• Oral & Maxillofacial Surgery Center of South Louisiana LLC
• William Karl Ordoyne Jr.
• Leonardo Orejarena, MD

• Clinic/Center in Covington, LA
• Providers in Covington, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.