Organization Active NPI

Medleaders LLC

  • Family Medicine Physician
  • Denham Springs, LA
National Provider Identifier
1740647866
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025596 Issued in LA
Legal business name
MEDLEADERS LLC
Practice address
8369 Florida Blvd
Suite 9
Denham Springs, LA 70726-7862
Phone
(225) 243-6997
Fax
(225) 243-7157
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Ms. Courtney Leigh Altazin
Title
Operations Manager
Phone
(225) 243-6997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 025596 LA Primary

Addresses

Primary practice location

8369 Florida Blvd
Suite 9
Denham Springs, LA 70726-7862

Mailing address

PO Box 78070
Baton Rouge, LA 70837-8070
Phone (225) 243-6997

Other identifiers 1

IdentifierTypeStateIssuer
025596OtherLALICENSE NUMBER

Other names 1

  • The Taylor Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1740647866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78070",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708378070",
            "telephone_number": "225-243-6997",
            "fax_number": "225-243-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8369 FLORIDA BLVD",
            "address_2": "SUITE 9",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267862",
            "telephone_number": "225-243-6997",
            "fax_number": "225-243-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLEADERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "ALTAZIN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "225-243-6997",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "025596",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Taylor Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.