Internal Medicine Clinic of Houma

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE CLINIC OF HOUMA

Practice address

911 Verret St
Houma, LA 70360-4637

Phone

(985) 876-7388

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Russell Patrick Henry, M.D.NPI 1780689893

Title

Owner

Phone

(985) 876-7388

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Russell Patrick Henry, M.D.

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1780689893
  Medicare reassignment Care Compare group Authorized official
• Annette Lebouef Windham, FNP-C

  • Nurse Practitioner
  • Houma, LA
  • NPI 1366447476
  Medicare reassignment Care Compare group NPD
• Lisa Russo Authement, MSN-APRN

  • Family Nurse Practitioner
  • Houma, LA
  • NPI 1417143249
  Medicare reassignment NPD
• Jessica La Greco Brousse, A.P.R.N., F.N.P.-C.

  • Family Nurse Practitioner
  • Slidell, LA
  • NPI 1164790937
  NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689750192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 VERRET ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604637",
            "telephone_number": "985-876-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 VERRET ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604637",
            "telephone_number": "985-876-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CLINIC OF HOUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-876-7388",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796395",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inceptions, LLC
• Inceptions, LLC
• Inceptions, LLC
• Integrity Behavioral Health Services, LLC
• Internal Medicine Associates of Houma
• Emily Irvine
• Isd Renal Inc
• Isr Physical Therapy of Houma
• Gladis Izaguirre
• J Bruce Steigner MD Facs,a Medical Corporation

• Internal Medicine Physician in Houma, LA
• Providers in Houma, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.