John Joseph Mickey, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

14418 Issued in LA

Practice address

110 Hospital Dr
Lafayette, LA 70503-2819

Phone

(337) 232-2900

Fax

(337) 232-2990

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisiana Cardiovascular and Limb Salvage Center, Apmc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lafayette, LA
  • NPI 1689825499
  NPD
• Acadian Physician Practices LLC

  • Surgery Physician
  • Eunice, LA
  • NPI 1568615268
  NPD (past)
• Cardiology Centre of Lafayette

  • Clinic/Center
  • Lafayette, LA
  • NPI 1871571042
  NPD (past)
• Kenneth D Futch, MD, AMC

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1336299056
  NPD (past)
• Our Lady of Lourdes Regional Medical Center

  dba Lourdes Physician Billing Service

  • Neurology Physician
  • Lafayette, LA
  • NPI 1265593735
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1710988241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-232-2900",
            "fax_number": "337-232-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-232-2900",
            "fax_number": "337-232-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKEY",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "14418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "60054546",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1193411",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle a. Falgout, Therapy Services, LLC
• Michelle R Stutes, MD Apm LLC
• Michelle Thomas LPC
• Michelle Thomas Speech Therapy LLC
• Tears Mickens
• Midcity Transportation LLC
• Midwife Kira (The Natural BirthHouse)
• Midwife Kira (The Natural BirthHouse)
• Melanie Mier, M.D.
• Migg Enterprise & Co LLC

• Cardiovascular Disease Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.