Active NPI
Roger S. Labonte, M.D.
- Hospitalist Physician
- Meridian, MS
National Provider Identifier
1669454690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 12417
- Practice address
- 1314 19TH Ave
Meridian, MS 39301-4116 - Phone
- (601) 703-4078
- Fax
- (601) 703-4065
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 12417 | MS | Primary |
| Internal Medicine Physician | 207R00000X | 12417 | MS | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 12417 | MS |
Addresses
Primary practice location
1314 19TH Ave
Meridian, MS 39301-4116
Mailing address
PO Box 5183
Meridian, MS 39302-5183
Phone (601) 703-9506
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110167965 | Other | RAILROAD MEDICARE | |
| 731-02315 | Other | BLUE CROSS OF AL | |
| 00119505 | Medicaid | MS | |
| 009905660 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1669454690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5183",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025183",
"telephone_number": "601-703-9506",
"fax_number": "601-703-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 19TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014116",
"telephone_number": "601-703-4078",
"fax_number": "601-703-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABONTE",
"first_name": "ROGER",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MS",
"license": "12417",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "12417",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MS",
"license": "12417",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110167965",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "731-02315",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119505",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009905660",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
- Alethea W Krutz
- Lindsay Kyle, M.A., L.P.C.
- Lab 2 Go
- Lab 2 Go Diagnostics Corporation
- Lab on the Go
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.