NPIMap

Organization Active NPI

Haydel Medical & Pain Center LLC

  • Interventional Pain Medicine Physician
  • Luling, LA
National Provider Identifier
1538501994
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
019061 Issued in LA
Legal business name
HAYDEL MEDICAL & PAIN CENTER LLC
Practice address
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone
(888) 836-7015
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Karl G. Haydel Jr., M.D.
Title
President & Ceo
Phone
(888) 836-7015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 019061 LA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 019061 LA Primary

Addresses

Primary practice location

1057 Paul Maillard Rd
Luling, LA 70070-4349

Mailing address

1690 Dunlawton Ave
Suite 130
Port Orange, FL 32127-8979
Phone (888) 836-7015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1538501994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "SUITE 130",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "888-836-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "888-836-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEL MEDICAL & PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "HAYDEL",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "888-836-7015",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "019061",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "019061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.