Urgent Care of St Bernard

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

024334 Issued in LA

Legal business name

URGENT CARE OF ST BERNARD

Practice address

8717 W Judge Perez Dr
Chalmette, LA 70043-1803

Phone

(504) 393-2273

Fax

(504) 393-2744

NPI assigned

Jul 3, 2014

Last updated

Jul 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas T Mehaffie, M.D.

Title

Medical Director

Phone

(504) 393-2273

Specialties & licenses 2

Addresses

Other names 1

• DOUGLAS MEHAFFIE SOLE MBR Other name

Locations

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1407262074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431803",
            "telephone_number": "504-393-2273",
            "fax_number": "504-393-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 W JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431803",
            "telephone_number": "504-393-2273",
            "fax_number": "504-393-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF ST BERNARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "MEHAFFIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-393-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "024334",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUGLAS MEHAFFIE SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Ann Tuggle, B.A.
• Corea Tumblin, RSW
• Gwendolyn Turner, LMSW
• Ashely Lynn Ugulano, M.S, NCC
• Uplifting Minds Counseling Service LLC (Jovel Finney)
• Abdolreza Vadiee, MD, PHD
• Carol Ann Vadiee, NP
• Marisa Vann, M.ED.
• Jane Rhea Vernier
• Paul Verrette, M.D.

• Family Medicine Physician in Chalmette, LA
• Providers in Chalmette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.