Hospital Medical Team, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD.200495 Issued in LA

Legal business name

HOSPITAL MEDICAL TEAM, LLC

Practice address

59355 River West Dr
Plaquemine, LA 70764-6553

Phone

(225) 776-0429

Fax

(225) 687-2556

NPI assigned

Sep 6, 2007

Last updated

Aug 8, 2008By 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

Dr. Maria Teresa Evangelista-Dean, M.D.

Title

Medical Director

Phone

(225) 776-0429

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1386838001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25390 PECAN TREE LN",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707644524",
            "telephone_number": "225-776-0429",
            "fax_number": "225-687-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59355 RIVER WEST DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646553",
            "telephone_number": "225-776-0429",
            "fax_number": "225-687-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MEDICAL TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA-DEAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "225-776-0429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.200495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.