NPIMap

Organization Active NPI

NRMC Physician Ipa Inc

Doing business as NRMC General Surgery Associates

  • Surgery Physician
  • Natchitoches, LA
National Provider Identifier
1497283733
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NRMC PHYSICIAN IPA INC
Doing business as
NRMC General Surgery Associates
Practice address
601 Keyser Ave
Natchitoches, LA 71457-6020
Phone
(318) 214-5770
Fax
(318) 214-4625
NPI assigned
May 31, 2017
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
William B McCormick
Title
Cfo
Phone
(318) 214-4350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

601 Keyser Ave
Natchitoches, LA 71457-6020

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 214-5770

Other practice location 1

740 Keyser Ave Ste D
Natchitoches, LA 71457-6083
Phone (318) 354-2555

Other practice location 2

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4401

Other names 1

  • NRMC General Surgery Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170808001651 LA Part B Supplier - Clinic/Group Practice 9234400300 Receives reassigned benefits from 44 practitioners
7 other NPIs on this enrollment
Practice locations: Natchitoches, LA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
NRMC Physician Ipa Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

301 4th St
#3G
Alexandria, LA 71301

301 4th St
Fl Ter
Alexandria, LA 71301

301 4th St
Ste 3G
Alexandria, LA 71301

1029 Keyser Ave
Ste C
Natchitoches, LA 71457
Phone (318) 238-6301

1029 Keyser Ave
Ste D
Natchitoches, LA 71457
Phone (318) 238-4511

601 Keyser Ave
Ste D
Natchitoches, LA 71457

740 Keyser Ave
Ste D
Natchitoches, LA 71457
Phone (318) 354-2555

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1497283733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-214-5770",
            "fax_number": "318-214-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576020",
            "telephone_number": "318-214-5770",
            "fax_number": "318-214-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Keyser Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714576083",
            "country_code": "US",
            "telephone_number": "318-354-2555",
            "fax_number": "318-354-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Keyser Ave",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714576018",
            "country_code": "US",
            "telephone_number": "318-214-4401",
            "fax_number": "318-214-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NRMC PHYSICIAN IPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-214-4350"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NRMC General Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.