Jay Vega MD.,a.P.M.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

10085R Issued in LA

Legal business name

JAY VEGA MD.,A.P.M.C.

Practice address

13030 Highway 308
Larose, LA 70373

Phone

(985) 798-5611

Fax

(985) 798-5648

NPI assigned

Jun 19, 2007

Last updated

Aug 22, 2020By 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

Jay Vega, MD

Title

President Owner

Phone

(985) 798-5611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740485754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "LAROSE",
            "state": "LA",
            "postal_code": "703730508",
            "telephone_number": "985-798-5611",
            "fax_number": "985-798-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 HIGHWAY 308",
            "city": "LAROSE",
            "state": "LA",
            "postal_code": "70373",
            "telephone_number": "985-798-5611",
            "fax_number": "985-798-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY VEGA MD.,A.P.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "985-798-5611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "10085R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Gates Ledet, M. A. CCC-SLP
• Shana Matherne
• Christine Dessauer McDaniel, PAC

• Primary Care Clinic/Center in Larose, LA
• Providers in Larose, LA by specialty
• Primary Care 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.