Active NPI
Michael James McAlvanah, MD
- Surgery Physician
- Arnaudville, LA
National Provider Identifier
1750401030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R3895
- Practice address
- 281 Grand Lake Drive
Arnaudville, LA 70512 - Phone
- (337) 662-4007
- Fax
- (337) 662-5177
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R3895 | LA | Primary |
Addresses
Primary practice location
281 Grand Lake Drive
Arnaudville, LA 70512
Mailing address
281 Grand Lake Drive
Arnaudville, LA 70512
Phone (337) 662-4007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3895 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Physician Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1942391826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750401030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 GRAND LAKE DRIVE",
"city": "ARNAUDVILLE",
"state": "LA",
"postal_code": "70512",
"telephone_number": "337-662-4007",
"fax_number": "337-662-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 GRAND LAKE DRIVE",
"city": "ARNAUDVILLE",
"state": "LA",
"postal_code": "70512",
"telephone_number": "337-662-4007",
"fax_number": "337-662-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCALVANAH",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "R3895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arnaudville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.