Organization Active NPI

Denham Springs Urgent Care LLC

  • Family Medicine Physician
  • Denham Springs, LA
National Provider Identifier
1396746111
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
. Issued in LA
Legal business name
DENHAM SPRINGS URGENT CARE LLC
Doing business as
DENHAM SPRINGS URGENT CARE
Practice address
1585 S Range Ave
Denham Springs, LA 70726-5201
Phone
(225) 791-0002
Fax
(225) 791-0228
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Paul Abide, MD
Title
Member
Phone
(225) 791-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X . LA Primary

Addresses

Primary practice location

1585 S Range Ave
Denham Springs, LA 70726-5201

Mailing address

Dept 960139
Oklahoma City, OK 73196-0139
Phone (877) 485-4474

Other identifiers 2

IdentifierTypeStateIssuer
CK8720OtherLARAILROAD MCARE
1948403MedicaidLA

Other names 1

  • DENHAM SPRINGS URGENT CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1585 S Range Ave
Denham Springs, LA 70726
Phone (225) 243-4211

Dept 960139
Oklahoma City, OK 73196

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1396746111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 960139",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960139",
            "telephone_number": "877-485-4474",
            "fax_number": "405-844-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265201",
            "telephone_number": "225-791-0002",
            "fax_number": "225-791-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENHAM SPRINGS URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "ABIDE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "225-791-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": ".",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE",
            "identifier": "CK8720",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948403",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENHAM SPRINGS URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.