Organization Active NPI

Teofilo Gozaine LLC

  • Otolaryngology Physician
  • Leesville, LA
National Provider Identifier
1740629021
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.1544OR Issued in LA
Legal business name
TEOFILO GOZAINE LLC
Practice address
506 S 6TH St
Leesville, LA 71446-4482
Phone
(337) 239-2234
Fax
(337) 239-2238
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Teofilo Gozaine, M.D.
Title
Doctor
Phone
(337) 239-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD.1544OR LA Primary

Addresses

Primary practice location

506 S 6TH St
Leesville, LA 71446-4482

Mailing address

506 S 6TH St
Leesville, LA 71446-4482
Phone (337) 239-2234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1740629021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S 6TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464482",
            "telephone_number": "337-239-2234",
            "fax_number": "337-239-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S 6TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464482",
            "telephone_number": "337-239-2234",
            "fax_number": "337-239-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEOFILO GOZAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "GOZAINE",
        "authorized_official_first_name": "TEOFILO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "337-239-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "MD.1544OR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.