NPIMap

Organization Active NPI

Integrated Medical Services Ham, LLC

  • General Practice Physician
  • Hammond, LA
National Provider Identifier
1619242575
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
LA024908 Issued in LA
Legal business name
INTEGRATED MEDICAL SERVICES HAM, LLC
Practice address
303 W Minnesota Park Rd
Hammond, LA 70403-6149
Phone
(985) 350-6110
Fax
(985) 350-6109
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Nelson James Curtis IIINPI 1407805724
Title
Managing Member/Owner
Phone
(504) 723-8399

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X LA024908 LA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X RN102334-AP06140 LA

Addresses

Primary practice location

303 W Minnesota Park Rd
Hammond, LA 70403-6149

Mailing address

PO Box 716
Mandeville, LA 70470-0716
Phone (504) 723-8399

Other names 1

  • AAMC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130417000391 LA Part B Supplier - Clinic/Group Practice 6204072275 Receives reassigned benefits from 22 practitioners
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Locations

7015 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 234-3000

303 W Minnesota Park Rd
Hammond, LA 70403
Phone (985) 310-6110

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1619242575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700716",
            "telephone_number": "504-723-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W MINNESOTA PARK RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036149",
            "telephone_number": "985-350-6110",
            "fax_number": "985-350-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL SERVICES HAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "504-723-8399",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "LA024908",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN102334-AP06140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.