Gaddis Medical & Aesthetics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD.200147 Issued in LA

Legal business name

GADDIS MEDICAL & AESTHETICS, LLC

Practice address

800 S 3Rd St
Leesville, LA 71446-4750

Phone

(337) 238-9899

Fax

(337) 239-2060

NPI assigned

Aug 27, 2007

Last updated

Apr 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd Gaddis, M.D.

Title

Ceo

Phone

(337) 238-9899

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1518150127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S 3RD ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464750",
            "telephone_number": "337-238-9899",
            "fax_number": "337-239-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 3RD ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464750",
            "telephone_number": "337-238-9899",
            "fax_number": "337-239-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADDIS MEDICAL & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-238-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD.200147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Leesville, LA
• Providers in Leesville, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.