Mercy Physician Practices LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MERCY PHYSICIAN PRACTICES LLC

Practice address

411 E Main St
Ville Platte, LA 70586-4609

Phone

(337) 336-5037

Fax

(337) 506-2131

NPI assigned

Mar 30, 2007

Last updated

Dec 30, 2021By 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

Kelli R Vidrine

Title

Revenue Cycle Manager

Phone

(337) 457-8052

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5868/brand/1/csg/1/fhir/r4

Practitioners 28

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.

• Charles Harold Bowie, M.D.

  • Urology Physician
  • Eunice, LA
  • NPI 1750460374
  Medicare reassignment Care Compare group NPD
• Kian Ehsan, M.D.

  • Interventional Cardiology Physician
  • Lafayette, LA
  • NPI 1639349921
  Medicare reassignment Care Compare group NPD
• Lyndsey Schexnayder Hargrave

  • Dermatology Physician
  • Ville Platte, LA
  • NPI 1326507534
  Medicare reassignment Care Compare group NPD
• Mehdi Abouei, MD

  • Orthopaedic Surgery Physician
  • Ville Platte, LA
  • NPI 1871124909
  Medicare reassignment NPD
• Kimberly Lomas Bellon, NP

  • Family Nurse Practitioner
  • Eunice, LA
  • NPI 1144850462
  Medicare reassignment NPD
• Mark Jason Dominguez, M.D.

  • Surgery Physician
  • Covington, LA
  • NPI 1043428170
  Medicare reassignment NPD
• Thomas Glenn Fontenot, M.D,

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1427199207
  Medicare reassignment NPD
• Jace Aaron Holmes, FNP

  • Family Nurse Practitioner
  • Ville Platte, LA
  • NPI 1346778123
  Medicare reassignment NPD
• Jeffery Jake Lafleur, M.D.

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1578559407
  Medicare reassignment NPD
• Brittany Shaheen Lanclos, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1770023079
  Medicare reassignment NPD
• Ellis Paul Landreneau, MD

  • Pediatrics Physician
  • Ville Platte, LA
  • NPI 1730576620
  Medicare reassignment NPD
• Brooklyn Latour, FNP-C

  • Family Nurse Practitioner
  • Ville Platte, LA
  • NPI 1760865109
  Medicare reassignment NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1598885832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864609",
            "telephone_number": "337-336-5037",
            "fax_number": "337-506-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864609",
            "telephone_number": "337-336-5037",
            "fax_number": "337-506-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ville Platte",
            "state": "LA",
            "postal_code": "705864618",
            "country_code": "US",
            "telephone_number": "337-363-5684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3521 Highway 190 Ste T",
            "address_purpose": "LOCATION",
            "city": "Eunice",
            "state": "LA",
            "postal_code": "705355135",
            "country_code": "US",
            "telephone_number": "337-457-8980",
            "fax_number": "337-457-4568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2932 Stagg Ave",
            "address_purpose": "LOCATION",
            "city": "Basile",
            "state": "LA",
            "postal_code": "705155560",
            "country_code": "US",
            "telephone_number": "337-432-5552",
            "fax_number": "337-432-5553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3521 Highway 190 Ste P",
            "address_purpose": "LOCATION",
            "city": "Eunice",
            "state": "LA",
            "postal_code": "705355135",
            "country_code": "US",
            "telephone_number": "337-457-0745",
            "fax_number": "337-457-0711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 E Laurel Ave",
            "address_purpose": "LOCATION",
            "city": "Eunice",
            "state": "LA",
            "postal_code": "705353705",
            "country_code": "US",
            "telephone_number": "337-457-8916",
            "fax_number": "337-457-8922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Highway 190",
            "address_purpose": "LOCATION",
            "city": "Eunice",
            "state": "LA",
            "postal_code": "705355129",
            "country_code": "US",
            "telephone_number": "337-580-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Jack Miller Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Ville Platte",
            "state": "LA",
            "postal_code": "705865600",
            "country_code": "US",
            "telephone_number": "337-336-5037",
            "fax_number": "337-363-4402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 East Main",
            "address_purpose": "LOCATION",
            "city": "Ville Platte",
            "state": "LA",
            "postal_code": "70586",
            "country_code": "US",
            "telephone_number": "337-336-5040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Jack Miller Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ville Platte",
            "state": "LA",
            "postal_code": "705865600",
            "country_code": "US",
            "telephone_number": "337-336-5037",
            "fax_number": "337-506-2124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Hill St",
            "address_purpose": "LOCATION",
            "city": "Eunice",
            "state": "LA",
            "postal_code": "705355845",
            "country_code": "US",
            "telephone_number": "337-457-8040",
            "fax_number": "337-457-3432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "VIDRINE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "337-457-8052"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Resources & Guidance, Inc.
• Medical Resources & Guidance, Inc.
• Medicine Chest Pharmacy Inc.
• Crystal Melancon, RN, IBCLC
• Lisa Menuet, M.D.
• Mercy Physician Practices LLC
• Mercy Physician Practices LLC
• Mid State Orthopaedic & Sports Medicine Center LLC
• Brittany Miller, FNP
• Dulcie L. Miller, MCD,CCC-SLP

• Family Medicine Physician in Ville Platte, LA
• Providers in Ville Platte, 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 Dec 30, 2021; 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.