Thomas N. Trahan, M.D. LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD.018535 Issued in LA

Legal business name

THOMAS N. TRAHAN, M.D. LLC

Practice address

4917 W Park Dr
Zachary, LA 70791-4012

Phone

(225) 658-4110

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Thomas N Trahan, M.D.NPI 1912097460

Title

Medical Director

Phone

(225) 658-4110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas N Trahan, MD

  • Emergency Medicine Physician
  • Zachary, LA
  • NPI 1912097460
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1689055683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 HIGHWAY 67",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707224917",
            "telephone_number": "225-658-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 W PARK DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914012",
            "telephone_number": "225-658-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS N. TRAHAN, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "225-658-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "MD.018535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Zachary, LA
• Providers in Zachary, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.