Unified Medical Group

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

472973 Issued in LA

Legal business name

UNIFIED MEDICAL GROUP

Practice address

6621 Westbank Expy
Marrero, LA 70072-2658

Phone

(504) 347-4688

Fax

(504) 347-4698

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Avis Rowan

Title

Director of Operations

Phone

(504) 347-4688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1346437035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722658",
            "telephone_number": "504-347-4688",
            "fax_number": "504-347-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722658",
            "telephone_number": "504-347-4688",
            "fax_number": "504-347-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "AVIS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "504-347-4688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "472973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Marrero, LA
• Providers in Marrero, LA by specialty
• Point of Service in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.