NPIMap

Organization Active NPI

C&M Medical Services-St Elizabeth LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gonzales, LA
National Provider Identifier
1639474257
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
017058 Issued in LA
Legal business name
C&M MEDICAL SERVICES-ST ELIZABETH LLC
Practice address
1125 West Louisiana Highway 30
Gonzales, LA 70737
Phone
(225) 647-5000
Fax
(225) 647-6066
NPI assigned
Jan 12, 2011
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Cris Mandry, M.D.
Title
President
Phone
(504) 833-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 017058 LA Primary

Addresses

Primary practice location

1125 West Louisiana Highway 30
Gonzales, LA 70737

Mailing address

3223 8TH St
Floor 3
Metairie, LA 70002-1623
Phone (504) 833-7770

Other identifiers 1

IdentifierTypeStateIssuer
J3181OtherLABC/BS OF LA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3223 8th St
Fl 3
Metairie, LA 70002

3223 8th St
Fl Third
Metairie, LA 70002

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1639474257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "address_2": "FLOOR 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WEST LOUISIANA HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "225-647-5000",
            "fax_number": "225-647-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&M MEDICAL SERVICES-ST ELIZABETH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "MANDRY",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-833-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "017058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF LA",
            "identifier": "J3181",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.