Organization Active NPI

Complementary Medical Services

  • Internal Medicine Physician
  • Mandeville, LA
National Provider Identifier
1679769632
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPLEMENTARY MEDICAL SERVICES
Practice address
4408 Highway 22
Mandeville, LA 70471-3310
Phone
(985) 626-1985
Fax
(985) 635-6948
NPI assigned
Sep 23, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. James Carter, MD
Title
Medical Doctor
Phone
(985) 626-1985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4408 Highway 22
Mandeville, LA 70471-3310

Mailing address

4408 Highway 22
Mandeville, LA 70471-3310
Phone (985) 626-1985

National Provider Directory

National Provider Directory

Locations

4408 Highway 22
Mandeville, LA 70471
Phone (985) 626-1985

NPI Registry JSON

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

{
    "created_epoch": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1679769632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-1985",
            "fax_number": "985-635-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-1985",
            "fax_number": "985-635-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEMENTARY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "985-626-1985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.