NPIMap

Organization Active NPI

Premier Medical Practice

  • Clinic/Center
  • Marksville, LA
National Provider Identifier
1437188570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11268R Issued in LA
Legal business name
PREMIER MEDICAL PRACTICE
Practice address
338 Moreau St
Marksville, LA 71351-2956
Phone
(318) 253-5647
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Mark B. Amigo, MD
Title
Physician
Phone
(318) 253-5647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11268R LA Primary

Addresses

Primary practice location

338 Moreau St
Marksville, LA 71351-2956

Mailing address

338 Moreau St
Marksville, LA 71351-2956
Phone (318) 253-5647

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437188570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 MOREAU ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512956",
            "telephone_number": "318-253-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 MOREAU ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512956",
            "telephone_number": "318-253-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMIGO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MARK B.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-253-5647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "11268R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.