Jose E Merced MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

021815 Issued in LA

Legal business name

JOSE E MERCED MD LLC

Practice address

433 La Neuville Rd
Youngsville, LA 70592-5212

Phone

(337) 769-3002

Fax

(337) 769-0309

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Jose Edgardo Merced, M.D.NPI 1124052691

Title

President

Phone

(337) 769-3002

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Edgardo Merced, M.D.

  • Internal Medicine Physician
  • Youngsville, LA
  • NPI 1124052691
  NPD (past) Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1780879015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81023",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981023",
            "telephone_number": "337-769-3002",
            "fax_number": "337-769-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 LA NEUVILLE RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925212",
            "telephone_number": "337-769-3002",
            "fax_number": "337-769-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE E MERCED MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MERCED",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "EDGARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-769-3002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "021815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982491",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La'Terrial Jones
• Lauryn Danae Jones, BT
• Trinity Trenace Jones
• Jonte Jordan
• Rebecca Anne Jordan
• JPD Medical
• Amanda Faith Judice, BSN, RN, IBCLC
• Kahlaya Naki Julien
• Katherine Broussard Juneau, LCSW, BACS
• Tailer R Juneau

• Medical Specialty Clinic/Center in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.