Health Clinic of Moss Bluff, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13083R Issued in LA

Legal business name

HEALTH CLINIC OF MOSS BLUFF, LLC

Doing business as

Chadha Medical Clinic - MB

Practice address

237 Sam Houston Jones Pkwy
Moss Bluff, LA 70611-5603

Phone

(337) 786-5007

Fax

(337) 786-5009

NPI assigned

Dec 5, 2013

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jagjit S Chadha, MDNPI 1144377128

Title

Ceo/Owner

Phone

(337) 786-5007

Specialties & licenses 2

Addresses

Other names 1

• CHADHA MEDICAL CLINIC - MB Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 6

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.

• Jagjit Chadha, M.D

  • Internal Medicine Physician
  • Dequincy, LA
  • NPI 1144377128
  Medicare reassignment NPD Authorized official
• Robin Shirley Bedgood, NP

  • Family Nurse Practitioner
  • Dequincy, LA
  • NPI 1336490986
  Medicare reassignment NPD
• Nandita Chadha, M.D.

  • Family Medicine Physician
  • Dequincy, LA
  • NPI 1558418533
  Medicare reassignment NPD
• Nafeesa Hashmi, FNP

  • Family Medicine Physician
  • Dequincy, LA
  • NPI 1538669361
  Medicare reassignment NPD
• Alicia Larocque, APRN

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1164845905
  Medicare reassignment NPD
• Penny Lynn Goodwin, M.D.

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1821255852
  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1679904387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333508",
            "telephone_number": "337-786-5007",
            "fax_number": "337-786-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SAM HOUSTON JONES PKWY",
            "city": "MOSS BLUFF",
            "state": "LA",
            "postal_code": "706115603",
            "telephone_number": "337-786-5007",
            "fax_number": "337-786-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CLINIC OF MOSS BLUFF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "CHADHA",
        "authorized_official_first_name": "JAGJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "337-786-5007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "13084R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "13083R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHADHA MEDICAL CLINIC - MB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiana Duncan
• Sarah Elizabeth Duncan
• Eavy's Medical Transportation
• Sanghoon Han, PHARMD
• Harrp Group LLC (Pettit's Family Pharmacy)
• Megan Manuel
• Joshua Morehead
• Mark Kwame Osebre, PHARMACIST
• Shionka S Patterson, PHARM. D.
• Sinh Pham

• Internal Medicine Physician in Moss Bluff, LA
• Providers in Moss Bluff, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.