NPIMap

Organization Active NPI

Family Doctor Clinic of Laplace LLC

  • Family Medicine Physician
  • La Place, LA
National Provider Identifier
1538599592
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY DOCTOR CLINIC OF LAPLACE LLC
Practice address
429 W Airline Hwy
Suite B
La Place, LA 70068-3817
Phone
(985) 652-3344
Fax
(985) 652-9320
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Christian Montegut, MDNPI 1093970642
Title
Member
Phone
(985) 652-3344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

429 W Airline Hwy
Suite B
La Place, LA 70068-3817

Mailing address

429 W Airline Hwy
Suite B
La Place, LA 70068-3817
Phone (985) 652-3344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327002181 LA Part B Supplier - Clinic/Group Practice 0345471728 Receives reassigned benefits from 3 practitioners
Practice locations: Laplace, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1538599592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W AIRLINE HWY",
            "address_2": "SUITE B",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683817",
            "telephone_number": "985-652-3344",
            "fax_number": "985-652-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W AIRLINE HWY",
            "address_2": "SUITE B",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683817",
            "telephone_number": "985-652-3344",
            "fax_number": "985-652-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTOR CLINIC OF LAPLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "MONTEGUT",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "985-652-3344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.