Organization Active NPI

Haydel Family Practice, Apmc

  • Family Medicine Physician
  • Houma, LA
National Provider Identifier
1649317587
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10882 Issued in LA
Legal business name
HAYDEL FAMILY PRACTICE, APMC
Practice address
502 Barrow St
Houma, LA 70360-4606
Phone
(985) 876-2150
Fax
(985) 876-7413
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Richard Michael Haydel, M.D.NPI 1578658555
Title
President
Phone
(985) 876-2150

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10882 LA Primary

Addresses

Primary practice location

502 Barrow St
Houma, LA 70360-4606

Mailing address

502 Barrow St
Houma, LA 70360-4606
Phone (985) 876-2150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080709000228 LA Part B Supplier - Clinic/Group Practice 1052483971 Receives reassigned benefits from 4 practitioners
Practice locations: Houma, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1649317587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BARROW ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604606",
            "telephone_number": "985-876-2150",
            "fax_number": "985-876-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BARROW ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604606",
            "telephone_number": "985-876-2150",
            "fax_number": "985-876-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEL FAMILY PRACTICE, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "HAYDEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-876-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.