Active NPI
Hershel Dale Meade, MD
- Family Medicine Physician
- Sicily Island, LA
National Provider Identifier
1598801243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD 024332
- Practice address
- 307 Chisum Street
Sicily Island, LA 71368-0008 - Phone
- (318) 389-5727
- Fax
- (318) 389-4028
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 024332 | LA | Primary |
Addresses
Primary practice location
307 Chisum Street
Sicily Island, LA 71368-0008
Mailing address
PO Box 8
307 Chisum Street
Sicily Island, LA 71368-0008
Phone (318) 389-5727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1574503 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 024332 | LA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1598801243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"address_2": "307 CHISUM STREET",
"city": "SICILY ISLAND",
"state": "LA",
"postal_code": "713680008",
"telephone_number": "318-389-5727",
"fax_number": "318-389-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 CHISUM STREET",
"city": "SICILY ISLAND",
"state": "LA",
"postal_code": "713680008",
"telephone_number": "318-389-5727",
"fax_number": "318-389-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "HERSHEL",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD 024332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1574503",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sicily Island, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.