Minute Med Clinic - Pont de Mouton LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MINUTE MED CLINIC - PONT DE MOUTON LLC

Doing business as

MinuteMed

Practice address

104 Banister Court
Suite 1C
Lafayette, LA 70507

Phone

(337) 456-3519

Fax

(337) 205-6272

NPI assigned

Mar 9, 2015

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David C Reese, FNP

Title

Member Manager

Phone

(337) 456-3519

Specialties & licenses 1

Addresses

Other names 1

• MinuteMed Doing business as

Locations

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1346633831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033243",
            "telephone_number": "337-456-3519",
            "fax_number": "337-205-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BANISTER COURT",
            "address_2": "SUITE 1C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70507",
            "telephone_number": "337-456-3519",
            "fax_number": "337-205-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTE MED CLINIC - PONT DE MOUTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "337-456-3519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MinuteMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.