NPIMap

Organization Active NPI

Lafayette Health Ventures Inc

  • Radiation Oncology Physician
  • Lafayette, LA
National Provider Identifier
1487974044
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
202954 Issued in LA
Legal business name
LAFAYETTE HEALTH VENTURES INC
Practice address
155 Hospital Dr Ste 102
Lafayette, LA 70503-2852
Phone
(337) 289-8067
Fax
(337) 289-8066
NPI assigned
Jun 7, 2010
Organization subpart
Yes
Parent organization
LAFAYETTE HEALTH VENTURES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Carolyn Huval
Title
Vice President
Phone
(337) 289-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 202954 LA Primary

Addresses

Primary practice location

155 Hospital Dr Ste 102
Lafayette, LA 70503-2852

Mailing address

PO Box 53092
Lafayette, LA 70505-3092
Phone (337) 706-1533

Other names 1

  • Brent Mahoney MD, PhD Doing business as

National Provider Directory

National Provider Directory
Part of
Pediatric Assoc of Lafa

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1487974044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53092",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053092",
            "telephone_number": "337-706-1533",
            "fax_number": "337-769-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR STE 102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-289-8067",
            "fax_number": "337-289-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE HEALTH VENTURES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAFAYETTE HEALTH VENTURES INC",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "HUVAL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "337-289-8969"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "202954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent Mahoney MD, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.