Homested Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HOMESTED MEDICAL GROUP, INC.

Practice address

2112 Belle Chasse Hwy
Suite 11-182
Terrytown, LA 70056-7105

Phone

(504) 388-7586

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Felix Collado

Title

Owner

Phone

(504) 388-7586

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1326285602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BELLE CHASSE HWY",
            "address_2": "SUITE 11-182",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567105",
            "telephone_number": "504-388-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BELLE CHASSE HWY",
            "address_2": "SUITE 11-182",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567105",
            "telephone_number": "504-388-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTED MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-388-7586"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Terrytown, LA
• Providers in Terrytown, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.