Organization Active NPI

Nes Central Louisiana, Inc.

  • Emergency Medicine Physician
  • Oakdale, LA
National Provider Identifier
1336430651
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NES CENTRAL LOUISIANA, INC.
Practice address
130 Hospital Dr
Oakdale, LA 71463-3035
Phone
(318) 335-3700
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Serge Martial
Title
Director
Phone
(800) 242-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

130 Hospital Dr
Oakdale, LA 71463-3035

Mailing address

PO Box 504764
Saint Louis, MO 63150-4764
Phone (800) 377-8721

Other identifiers 1

IdentifierTypeStateIssuer
2158139MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1336430651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504764",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504764",
            "telephone_number": "800-377-8721",
            "fax_number": "304-697-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633035",
            "telephone_number": "318-335-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES CENTRAL LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "MARTIAL",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-242-6711"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158139",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.