NPIMap

Organization Active NPI

Pelvic Health and Menopause Center LLC

  • Gynecology Physician
  • Ruston, LA
National Provider Identifier
1437281367
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD.201086 Issued in LA
Legal business name
PELVIC HEALTH AND MENOPAUSE CENTER LLC
Practice address
411 E Vaughn Ave
Suite 201
Ruston, LA 71270-5972
Phone
(318) 255-3223
Fax
(318) 255-3181
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Nathan Wayne Goodyear, M.D.NPI 1538166970
Title
Doctor
Phone
(318) 255-3223

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MD.201086 LA Primary

Addresses

Primary practice location

411 E Vaughn Ave
Suite 201
Ruston, LA 71270-5972

Mailing address

411 E Vaughn Ave
Suite 201
Ruston, LA 71270-5972
Phone (318) 255-3223

Other identifiers 3

IdentifierTypeStateIssuer
33779OtherLACONTROLLED DRUG NUMBER
MD.201086OtherLASTATE LICENSE NUMBER
1538166970OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1437281367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 201",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-3223",
            "fax_number": "318-255-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 201",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-3223",
            "fax_number": "318-255-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC HEALTH AND MENOPAUSE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GOODYEAR",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "318-255-3223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "MD.201086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED DRUG NUMBER",
            "identifier": "33779",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD.201086",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538166970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.