Active NPI
Phoebe Medical Services LLC
- Emergency Medicine Physician
- Donaldsonville, LA
National Provider Identifier
1689086613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PHOEBE MEDICAL SERVICES LLC
- Practice address
- 301 Memorial Dr
Donaldsonville, LA 70346-4376 - Phone
- (225) 473-7931
- NPI assigned
- May 26, 2014
- 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
- Kathy Kondas
- Title
- Officer
- Phone
- (954) 838-2371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
301 Memorial Dr
Donaldsonville, LA 70346-4376
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569369600000",
"number": "1689086613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEMORIAL DR",
"city": "DONALDSONVILLE",
"state": "LA",
"postal_code": "703464376",
"telephone_number": "225-473-7931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOEBE MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-26",
"last_updated": "2019-09-25",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "954-838-2371"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Donaldsonville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.