NPIMap

Organization Active NPI

Leonard P. Neumann Jr MD a Professional Medical Corporation

  • Internal Medicine Physician
  • Tallulah, LA
National Provider Identifier
1619035706
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
012193 Issued in LA
Legal business name
LEONARD P. NEUMANN JR MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
800 Johnson St.
Tallulah, LA 71282-4235
Phone
(318) 574-4731
Fax
(318) 574-4739
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Leonard P. Neumann Jr., MD
Title
Owner/Medical Director
Phone
(318) 574-4731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 012193 LA Primary

Addresses

Primary practice location

800 Johnson St.
Tallulah, LA 71282-4235

Mailing address

PO Box 309
Tallulah, LA 71284-0309
Phone (318) 574-4731

Other identifiers 5

IdentifierTypeStateIssuer
4336215270OtherBLUE CROSS OF LA
827113052OtherPALMETTO GBA RAILROAD MED
1198579OtherMEDICAID INDIVIDUAL
54420OtherMEDICARE INDIVIDUAL
1948497MedicaidLA

National Provider Directory

National Provider Directory

Locations

800 Johnson St
#P
Tallulah, LA 71282
Phone (318) 574-4731

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1619035706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712840309",
            "telephone_number": "318-574-4731",
            "fax_number": "318-574-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JOHNSON ST.",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824235",
            "telephone_number": "318-574-4731",
            "fax_number": "318-574-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD P. NEUMANN JR MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "318-574-4731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "012193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "4336215270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "827113052",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL",
            "identifier": "1198579",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "54420",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948497",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.