Organization Active NPI

Healthspere Management Group

  • Interventional Pain Medicine Physician
  • Gretna, LA
National Provider Identifier
1467808519
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on May 9, 2016

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.