Ascension Medical Associates, LLC

Organization Active NPI Neurology Physician · Prairieville, LA

NPI 1417474339 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1417474339
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
License
204876 (LA)
Legal business name
ASCENSION MEDICAL ASSOCIATES, LLC
Practice address
37325 Market Place Dr.
Suite D
Prairieville, LA 70769
Phone
(225) 953-7388
Fax
(225) 953-7389
NPI assigned
Aug 23, 2017
Organization subpart
No

Authorized official

Name
Ms. Melissa Lavergne
Title
Credentialing Specialist
Phone
(225) 953-7388

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084N0400X 204876 LA Yes

Addresses

Primary practice location

37325 Market Place Dr.
Suite D
Prairieville, LA 70769

Mailing address

37325 Market Place Dr Ste D
Prairieville, LA 70769-3499
Phone (225) 953-7388

Other identifiers

IdentifierTypeStateIssuer
1538182118OtherLANPPES

Other providers in Prairieville, LA

All providers in Prairieville, LA · Neurology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.