Active NPI
East State MHT LLC
- Pediatric Orthopaedic Surgery Physician
- Leesville, LA
National Provider Identifier
1417371279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- MD.06170R
- Legal business name
- EAST STATE MHT LLC
- Practice address
- 506 S 6TH St
Leesville, LA 71446-4482 - Phone
- (972) 616-4702
- NPI assigned
- Feb 13, 2014
- Last updated
- Mar 6, 2014
- 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
- David Steiner
- Title
- Owner
- Phone
- (337) 392-2330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D6686 | TX | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | MD.06170R | LA | Primary |
Addresses
Primary practice location
506 S 6TH St
Leesville, LA 71446-4482
Mailing address
1515 Heritage Dr
Suite 110
McKinney, TX 75069-3256
Phone (972) 616-4702
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Orthopaedic Surgery Physician
- Leesville, LA
- NPI 1770701898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394064000000",
"number": "1417371279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 HERITAGE DR",
"address_2": "SUITE 110",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693256",
"telephone_number": "972-616-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 S 6TH ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464482",
"telephone_number": "972-616-4702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST STATE MHT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-13",
"last_updated": "2014-03-06",
"status": "A",
"authorized_official_last_name": "STEINER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-392-2330"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "D6686",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "LA",
"license": "MD.06170R",
"primary": true
}
],
"identifiers": [],
"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 Mar 6, 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.