Louisiana Urgent Care of Opelousas, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD024344 Issued in LA

Legal business name

LOUISIANA URGENT CARE OF OPELOUSAS, LLC

Practice address

5620 I-49 N. Service Rd
#11
Opelousas, LA 70570-0722

Phone

(337) 948-6331

Fax

(337) 942-9998

NPI assigned

Jun 20, 2006

Last updated

Feb 16, 2015By 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

Patrick D. Moore, M.D.

Title

Medical Director

Phone

(337) 948-6331

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Herman Junes Ledet, APN

  • Nurse Practitioner
  • Opelousas, LA
  • NPI 1235486481
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1598701583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 I-49 N. SERVICE RD",
            "address_2": "#11",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700722",
            "telephone_number": "337-948-6331",
            "fax_number": "337-942-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 I-49 N. SERVICE RD",
            "address_2": "#11",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700722",
            "telephone_number": "337-948-6331",
            "fax_number": "337-942-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA URGENT CARE OF OPELOUSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "337-948-6331",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD024344",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027090",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.