Active NPI
Riverpark After Hours Clinic LLC
- Basic Emergency Medical Technician
- Vidalia, LA
National Provider Identifier
1396792495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- MD14808R
- Legal business name
- RIVERPARK AFTER HOURS CLINIC LLC
- Practice address
- 107 Front St
Vidalia, LA 71373-2836 - Phone
- (318) 336-2222
- Fax
- (318) 336-6064
- NPI assigned
- May 27, 2006
- 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
- Ibrahim Seki, MD
- Title
- Medical Director
- Phone
- (318) 336-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | MD14808R | LA | Primary |
Addresses
Primary practice location
107 Front St
Vidalia, LA 71373-2836
Mailing address
107 Front St
Vidalia, LA 71373-2836
Phone (318) 336-2222
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Vidalia, LA
- NPI 1700922069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396792495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 FRONT ST",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713732836",
"telephone_number": "318-336-2222",
"fax_number": "318-336-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 FRONT ST",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713732836",
"telephone_number": "318-336-2222",
"fax_number": "318-336-6064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERPARK AFTER HOURS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEKI",
"authorized_official_first_name": "IBRAHIM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "318-336-2222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "LA",
"license": "MD14808R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.