NPIMap

Organization Active NPI

Stellar Internal Medicine LLC

  • Internal Medicine Physician
  • Bush, LA
National Provider Identifier
1659008225
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STELLAR INTERNAL MEDICINE LLC
Practice address
82282 Highway 1082
Bush, LA 70431-2564
Phone
(985) 789-4302
NPI assigned
Aug 4, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Dr. Jessica Gonzalez, MDNPI 1053609560
Title
Member
Phone
(985) 789-4302

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

82282 Highway 1082
Bush, LA 70431-2564

Mailing address

82282 Highway 1082
Bush, LA 70431-2564
Phone (985) 789-4302

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgonzalez@stph.org Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1659008225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82282 HIGHWAY 1082",
            "city": "BUSH",
            "state": "LA",
            "postal_code": "704312564",
            "telephone_number": "985-789-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82282 HIGHWAY 1082",
            "city": "BUSH",
            "state": "LA",
            "postal_code": "704312564",
            "telephone_number": "985-789-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "985-789-4302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgonzalez@stph.org",
            "affiliation": "N",
            "endpointDescription": "jgonzalez@stph.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail",
            "address_1": "82282 Highway 1082",
            "city": "Bush",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704312564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bush, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.