Organization Active NPI

C Michelle Mayeux a Professional Medical Corporation

  • Internal Medicine Physician
  • Natchitoches, LA
National Provider Identifier
1427374685
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD023153 Issued in LA
Legal business name
C MICHELLE MAYEUX A PROFESSIONAL MEDICAL CORPORATION
Practice address
114 E 5TH St
Natchitoches, LA 71457-5725
Phone
(318) 354-9348
NPI assigned
Apr 13, 2010
Last updated
Apr 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Claudia Michelle Mayeux, MDNPI 1760488985
Title
Owner
Phone
(318) 354-9348

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD023153 LA Primary

Addresses

Primary practice location

114 E 5TH St
Natchitoches, LA 71457-5725

Mailing address

114 E 5TH St
Natchitoches, LA 71457-5725
Phone (318) 354-9348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100622000586 LA Part B Supplier - Clinic/Group Practice 9133250012 Receives reassigned benefits from 1 practitioner
Practice locations: Natchitoches, LA

National Provider Directory

National Provider Directory

Locations

114 E 5th St
Natchitoches, LA 71457
Phone (314) 354-9348

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1427374685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 5TH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575725",
            "telephone_number": "318-354-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 5TH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575725",
            "telephone_number": "318-354-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C MICHELLE MAYEUX A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "MAYEUX",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-354-9348",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD023153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.