NPIMap

Organization Active NPI

Nagem Medical Specialties, LLC

  • Nuclear Pharmacist
  • Lake Charles, LA
National Provider Identifier
1316984677
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacistTaxonomy code 1835N0905X
License
5356NU Issued in LA
Legal business name
NAGEM MEDICAL SPECIALTIES, LLC
Practice address
2058 E McNeese St
Lake Charles, LA 70607-4830
Phone
(337) 474-2224
Fax
(337) 474-2646
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jonathon Nagem, P. D.
Title
Owner
Phone
(337) 474-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835N0905X 5356NU LA Primary

Addresses

Primary practice location

2058 E McNeese St
Lake Charles, LA 70607-4830

Mailing address

2058 E McNeese St
Lake Charles, LA 70607-4830
Phone (337) 474-2224

National Provider Directory

National Provider Directory
Tax ID family
Nagem Medical Specialties LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2058 E McNeese St
Lake Charles, LA 70607
Phone (337) 474-2224

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316984677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 E MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074830",
            "telephone_number": "337-474-2224",
            "fax_number": "337-474-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 E MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074830",
            "telephone_number": "337-474-2224",
            "fax_number": "337-474-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGEM MEDICAL SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAGEM",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-474-2224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P. D."
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Nuclear",
            "state": "LA",
            "license": "5356NU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.