Delta Medical Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

025901 Issued in LA

Legal business name

DELTA MEDICAL CLINIC LLC

Practice address

103 Doctor Bowen St
Belle Chasse, LA 70037-1505

Phone

(504) 392-3392

Fax

(504) 392-3303

NPI assigned

Mar 12, 2012

Last updated

Jun 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula A Himes, CPC

Title

Billing Office

Phone

(504) 392-3392

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22571/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/98457c6b-63ef-4752-8922-1770c81bf95b/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Andrew Chambers, MD

  • General Practice Physician
  • Belle Chasse, LA
  • NPI 1073776431
  NPD

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1720353618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DOCTOR BOWEN ST",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371505",
            "telephone_number": "504-392-3392",
            "fax_number": "504-392-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DOCTOR BOWEN ST",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371505",
            "telephone_number": "504-392-3392",
            "fax_number": "504-392-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "HIMES",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "504-392-3392",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "025901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Ruby Craft, PLPC
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• Armand Daigle
• Scott W Delahoussaye, PT
• Bruna Delima-Mujica
• Dejeanne Denet, D.C.
• Denis Lockler, Anp, PLLC
• Dept of Health & Hospitals (Plaquemines Behavioral Health Clinic)
• Destiny Chiropractic Clinic LLC
• Jeffrey Ciro Dimarco, RPH

• General Practice Physician in Belle Chasse, LA
• Providers in Belle Chasse, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.