Seasons Medical Aesthetics

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

201086 Issued in LA

Legal business name

SEASONS MEDICAL AESTHETICS

Practice address

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

Phone

(318) 255-3223

Fax

(318) 255-3181

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Wayne Goodyear, M.D.

Title

Owner

Phone

(318) 255-3223

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1437340684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703327",
            "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": "SEASONS MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "GOODYEAR",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-255-3223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "201086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "201086",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1453331",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5CX71",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Sartor, M.D.
• SCB Surgery Center LLC (Louisiana Surgery Center)
• David Lynn Scheaffer, MHS
• Brittney Scott
• Emmanuel Seals
• Seasons Primary Care
• Abby Semien
• Adrian Seney, LCSW
• Jodi Serpas, DPT
• Shanti Health Services LLC

• Obstetrics & Gynecology Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.