Phca Houma LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHCA HOUMA LLC

Practice address

435 Corporate Dr Ste 402
Houma, LA 70360-2498

Phone

(985) 400-3019

Fax

(985) 400-3021

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Wayne L Wiliams Jr.

Title

Cfo

Phone

(214) 763-1184

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Fuller Doiron, NP

  • Family Nurse Practitioner
  • Morgan City, LA
  • NPI 1073511960
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1356973077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E MAIN ST STE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016921",
            "telephone_number": "214-763-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CORPORATE DR STE 402",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602498",
            "telephone_number": "985-400-3019",
            "fax_number": "985-400-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCA HOUMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "WILIAMS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-763-1184",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Perry, PHARMD
• Madison Peschen, MD
• Larry James Pete, CRNA
• Derick Petrie, PA-C
• Pharmacy Express LLC
• Kelly B Phillips, LDN RD
• Mary Phillips, DDS
• Physical Therapy and Rehabilitation Center,LLC
• Physician Practice Partners
• Physician Practice Partners

• Family Medicine Physician in Houma, LA
• Providers in Houma, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.