Active NPI
Healthspere Management Group
- Interventional Pain Medicine Physician
- Gretna, LA
National Provider Identifier
1467808519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- HEALTHSPERE MANAGEMENT GROUP
- Practice address
- 872 Behrman Hwy
Gretna, LA 70056-4546 - Phone
- (985) 892-8937
- NPI assigned
- May 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad Domangue
- Title
- MBR
- Phone
- (985) 892-8934
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
872 Behrman Hwy
Gretna, LA 70056-4546
Mailing address
PO Box 1991
Mandeville, LA 70470-1991
Phone (985) 892-8934
National Provider Directory
National Provider Directory- Tax ID family
- Healthspere Management Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine Physician
- New Orleans, LA
- NPI 1316399512
Locations
872 Behrman Hwy
Gretna, LA 70056
Phone (985) 892-8937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462752000000",
"number": "1467808519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1991",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704701991",
"telephone_number": "985-892-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 BEHRMAN HWY",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564546",
"telephone_number": "985-892-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSPERE MANAGEMENT GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A",
"authorized_official_last_name": "DOMANGUE",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "MBR",
"authorized_official_telephone_number": "985-892-8934",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.