Ralph R Nix III LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

010588 Issued in LA

Legal business name

RALPH R NIX III LLC

Practice address

1580 W Causeway Approach
Suite 3
Mandeville, LA 70471-3033

Phone

(985) 626-8223

Fax

(985) 626-8253

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ralph R Nix, MDNPI 1427026558

Title

Owner

Phone

(985) 626-8223

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph R Nix III, MD

  • Specialist
  • Mandeville, LA
  • NPI 1427026558
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1518084698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9012",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704709012",
            "telephone_number": "985-626-8223",
            "fax_number": "985-626-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W CAUSEWAY APPROACH",
            "address_2": "SUITE 3",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713033",
            "telephone_number": "985-626-8223",
            "fax_number": "985-626-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH R NIX III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-626-8223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "010588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "5B936",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148491",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.