Active NPI
Denham Springs Urgent Care LLC
- Family Medicine Physician
- Denham Springs, LA
National Provider Identifier
1396746111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- .
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK8720 | Other | LA | RAILROAD MCARE |
| 1948403 | Medicaid | LA |
Other names 1
- DENHAM SPRINGS URGENT CARE
National Provider Directory
National Provider DirectoryLocations
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.