Active NPI
NRMC Physician Ipa Inc
Doing business as NRMC ENT
- Otolaryngology Physician
- Natchitoches, LA
National Provider Identifier
1699280123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- NRMC PHYSICIAN IPA INC
- Doing business as
- NRMC ENT
- Practice address
- 601 Keyser Ave
Natchitoches, LA 71457-6020 - Phone
- (318) 214-5770
- Fax
- (318) 214-4630
- NPI assigned
- Dec 6, 2017
- Last updated
- Jun 26, 2020
- Organization subpart
- Yes
- Parent organization
- NRMC PHYSICIAN IPA INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Bradford McCormick
- Title
- Cfo
- Phone
- (318) 214-4350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | NU | Primary |
Addresses
Primary practice location
601 Keyser Ave
Natchitoches, LA 71457-6020
Mailing address
PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 214-5770
Other practice location 1
501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4401
Other practice location 2
1029 Keyser Ave Ste C
Natchitoches, LA 71457-6215
Phone (318) 238-6301
Other names 1
- NRMC ENT
National Provider Directory
National Provider Directory- Part of
- NRMC Physician Ipa Inc
Locations
1029 Keyser Ave
Ste C
Natchitoches, LA 71457
Phone (318) 238-6301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593129600000",
"number": "1699280123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2475",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714572475",
"telephone_number": "318-214-5770",
"fax_number": "318-214-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 KEYSER AVE",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714576020",
"telephone_number": "318-214-5770",
"fax_number": "318-214-4630"
}
],
"practiceLocations": [
{
"address_1": "501 Keyser Ave",
"address_purpose": "LOCATION",
"city": "Natchitoches",
"state": "LA",
"postal_code": "714576018",
"country_code": "US",
"telephone_number": "318-214-4401",
"fax_number": "318-214-4493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1029 Keyser Ave Ste C",
"address_purpose": "LOCATION",
"city": "Natchitoches",
"state": "LA",
"postal_code": "714576215",
"country_code": "US",
"telephone_number": "318-238-6301",
"fax_number": "318-214-4493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NRMC PHYSICIAN IPA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NRMC PHYSICIAN IPA INC",
"enumeration_date": "2017-12-06",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "BRADFORD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "318-214-4350"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NRMC ENT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Natchitoches, LA
- NRMC Physician Ipa Inc (NRMC Pain Institute)
- NRMC Physician Ipa Inc
- NRMC Physician Ipa Inc (NRMC Orthopedic Associates)
- NRMC Physician Ipa Inc (NRMC General Surgery Associates)
- NRMC Physician Ipa Inc (NRMC Nephrology Associates)
- NRMC Physician Ipa Inc (NRMC Pulmonology)
- NRMC Physician Ipa Inc (NRMC OB/GYN Associates)
- NRMC Physician Ipa Inc (NRMC Medicine Associates)
- NRMC Walk-in Clinic Ventures, LLC
- Fallon Dai O'Bannon, RSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.