Organization Active NPI

Eunice Family Practice, L.L.C.

  • Legal Medicine
  • Eunice, LA
National Provider Identifier
1699098491
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
13221R Issued in LA
Legal business name
EUNICE FAMILY PRACTICE, L.L.C.
Practice address
3521 Highway 190 Suite P
Eunice, LA 70535
Phone
(337) 457-8040
Fax
(337) 457-8043
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Craig Michael Matherne, M.D.
Title
President
Phone
(337) 457-8040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 14666R LA
Legal Medicine 173000000X 13221R LA Primary

Addresses

Primary practice location

3521 Highway 190 Suite P
Eunice, LA 70535

Mailing address

3521 Highway 190 Suite P
Eunice, LA 70535
Phone (337) 457-8040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1699098491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 HIGHWAY 190 SUITE P",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-457-8040",
            "fax_number": "337-457-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 HIGHWAY 190 SUITE P",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-457-8040",
            "fax_number": "337-457-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE FAMILY PRACTICE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "MATHERNE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-457-8040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "LA",
            "license": "14666R",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "LA",
            "license": "13221R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.