Jefferson Family Medical Center ,LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

12387R Issued in LA

Legal business name

JEFFERSON FAMILY MEDICAL CENTER ,LLC

Practice address

330 Lee Dr.
Suite B
Baton Rouge, LA 70808-1601

Phone

(225) 926-4780

Fax

(225) 926-4783

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Brian Allan Heise, M.D.NPI 1679547038

Title

President

Phone

(225) 926-4780

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brian A Heise, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1679547038
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710078449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LEE DR.",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081601",
            "telephone_number": "225-926-4780",
            "fax_number": "225-926-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LEE DR.",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081601",
            "telephone_number": "225-926-4780",
            "fax_number": "225-926-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON FAMILY MEDICAL CENTER ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-926-4780",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "12387R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Ellard DDS Apdc
• Danielle Dawn Jeffcoat, LCSW
• Peyton Elisabeth Jeffcoat, LMSW
• Candace Jeffers
• Jefferson Davis Anesthesia Inc.
• Jefferson Manor Nursing & Rehab CNTR LLC
• Jefferson Oaks Behavioral Health Inc
• Jefferson Oaks Professional Services
• Athan Joseph Jefferson
• Eva Jefferson, FNP

• Medical Specialty Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.