Nagem Medical Specialties, LLC

Primary specialty

Nuclear PharmacistTaxonomy code 1835N0905X

License

5586NU Issued in LA

Legal business name

NAGEM MEDICAL SPECIALTIES, LLC

Practice address

3209 Kaliste Saloom Rd
Lafayette, LA 70508-7421

Phone

(337) 984-7550

Fax

(337) 984-7220

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jonathon Nagem, P. D.

Title

Owner

Phone

(337) 474-2224

Specialties & licenses 1

Addresses

Other names 1

• Nagem Medical Specialties of Lafayette Doing business as

Tax ID family

Nagem Medical Specialties LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nagem Medical Specialties, LLC

  • Nuclear Pharmacist
  • Lake Charles, LA
  • NPI 1316984677
  NPD tax ID

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649218082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087421",
            "telephone_number": "337-984-7550",
            "fax_number": "337-984-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087421",
            "telephone_number": "337-984-7550",
            "fax_number": "337-984-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGEM MEDICAL SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAGEM",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-474-2224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P. D."
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Nuclear",
            "state": "LA",
            "license": "5586NU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nagem Medical Specialties of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gillian Myers
• Kayley Jon Myers, FNP
• Kerrie Myers, LMSW
• Renae J. T. Myers
• Myra Gulotta LCSW LLC
• Edmund Nagem, M.D.
• Manikandan Nagendran, MD
• Durga P Naidu, M.D, FAAP, FACC
• Vasanth K Nalam, MD
• Namllit Family Care & Transport LLC

• Pharmacist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.