Organization Active NPI

Glenn Figueroa MD Apmc

  • Internal Medicine Physician
  • Ruston, LA
National Provider Identifier
1467647396
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11020R Issued in LA
Legal business name
GLENN FIGUEROA MD APMC
Practice address
411 E Vaughn Ave
Suite 101
Ruston, LA 71270-5972
Phone
(318) 255-4076
Fax
(318) 255-8918
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Glenn Robert Figueroa, M.D.
Title
President
Phone
(318) 255-4076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD11020R LA Primary

Addresses

Primary practice location

411 E Vaughn Ave
Suite 101
Ruston, LA 71270-5972

Mailing address

411 E Vaughn Ave
Suite 101
Ruston, LA 71270-5972
Phone (318) 255-4076

Other identifiers 1

IdentifierTypeStateIssuer
1664197MedicaidLA

National Provider Directory

National Provider Directory

Locations

18364 Johnny B Hall Memorial Hwy
Rosepine, LA 70659
Phone (337) 463-8778

411 E Vaughn Ave
Ste 204
Ruston, LA 71270
Phone (318) 251-6284

206 McMillan Rd
#1
West Monroe, LA 71291
Phone (318) 251-2559

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1467647396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 101",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-4076",
            "fax_number": "318-255-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 101",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-4076",
            "fax_number": "318-255-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN FIGUEROA MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-255-4076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD11020R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664197",
            "state": "LA"
        }
    ],
    "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 Sep 13, 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.