Agape Ear Nose & Throat Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

12272R Issued in LA

Legal business name

AGAPE EAR NOSE & THROAT CLINIC PC

Practice address

1608 S 5TH St
Leesville, LA 71446-5304

Phone

(337) 392-1000

Fax

(337) 392-1099

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Kenneth Sewell, M.D.NPI 1427019389

Title

Physician

Phone

(337) 392-1000

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Awakening Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Leesville, LA
  • NPI 1104095603

  Member Of

  NPD member

Locations

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

• Steven K Sewell, MD

  • Otolaryngology Physician
  • Leesville, LA
  • NPI 1427019389

  LA, Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1386867968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S 5TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714465304",
            "telephone_number": "337-392-1000",
            "fax_number": "337-392-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S 5TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714465304",
            "telephone_number": "337-392-1000",
            "fax_number": "337-392-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE EAR NOSE & THROAT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-392-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "12272R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "C4958",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697664",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "5CX36",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Leesville, LA
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.