Organization Active NPI

Leblanc Women's Clinic, LLC

  • Specialist
  • Alexandria, LA
National Provider Identifier
1780680710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14403R Issued in LA
Legal business name
LEBLANC WOMEN'S CLINIC, LLC
Practice address
3807 Prescott Rd
Alexandria, LA 71301-3732
Phone
(318) 561-6774
Fax
(318) 561-6764
NPI assigned
Jun 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Allen James Leblanc Jr., M.D., PH.D.NPI 1558540690
Title
President
Phone
(318) 561-6774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14403R LA Primary

Addresses

Primary practice location

3807 Prescott Rd
Alexandria, LA 71301-3732

Mailing address

3807 Prescott Rd
Alexandria, LA 71301-3732
Phone (318) 561-6774

Other identifiers 2

IdentifierTypeStateIssuer
G5068OtherLABLUE CROSS BLUE SHIELD
1112232MedicaidLA

National Provider Directory

National Provider Directory

Locations

3807 Prescott Rd
Alexandria, LA 71301
Phone (318) 528-8902

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780680710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 PRESCOTT RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013732",
            "telephone_number": "318-561-6774",
            "fax_number": "318-561-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 PRESCOTT RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013732",
            "telephone_number": "318-561-6774",
            "fax_number": "318-561-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBLANC WOMEN'S CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-561-6774",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "14403R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G5068",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112232",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • 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.