NPIMap

Organization Active NPI

Leesville Heart Center PMC

  • Specialist
  • Leesville, LA
National Provider Identifier
1407045792
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11635R Issued in LA
Legal business name
LEESVILLE HEART CENTER PMC
Practice address
1106A Port Arthur Ter
Leesville, LA 71446-4636
Phone
(337) 392-1871
Fax
(337) 392-1804
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Reymond Meadaa, M.D.
Title
President
Phone
(337) 392-1871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11635R LA Primary

Addresses

Primary practice location

1106A Port Arthur Ter
Leesville, LA 71446-4636

Mailing address

1106A Port Arthur Ter
Leesville, LA 71446-4636
Phone (337) 392-1871

Other identifiers 1

IdentifierTypeStateIssuer
1684937MedicaidLA

National Provider Directory

National Provider Directory

Locations

1106 Port Arthur Ter
Ste A
Leesville, LA 71446
Phone (337) 392-1871

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1407045792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106A PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464636",
            "telephone_number": "337-392-1871",
            "fax_number": "337-392-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106A PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464636",
            "telephone_number": "337-392-1871",
            "fax_number": "337-392-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESVILLE HEART CENTER PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MEADAA",
        "authorized_official_first_name": "REYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-392-1871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "11635R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684937",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.