Active NPI
Jefferson Liner Jr & Dorothy Lewis PTRS
- Surgery Physician
- Hammond, LA
National Provider Identifier
1669669495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- JEFFERSON LINER JR & DOROTHY LEWIS PTRS
- Practice address
- 120 N Cate St
Hammond, LA 70401-3357 - Phone
- (985) 542-1364
- Fax
- (985) 542-8679
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa H Forrest
- Title
- Office Manager
- Phone
- (985) 542-1364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
120 N Cate St
Hammond, LA 70401-3357
Mailing address
PO Box 2308
Hammond, LA 70404-2308
Phone (985) 542-1364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1309559 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Hammond, LA
- NPI 1245217702
-
- Surgery Physician
- Hammond, LA
- NPI 1932161064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225843200000",
"number": "1669669495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2308",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704042308",
"telephone_number": "985-542-1364",
"fax_number": "985-542-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N CATE ST",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704013357",
"telephone_number": "985-542-1364",
"fax_number": "985-542-8679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON LINER JR & DOROTHY LEWIS PTRS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2008-11-05",
"status": "A",
"authorized_official_last_name": "FORREST",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "985-542-1364",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1309559",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.