Organization Active NPI

Matthew R Courville MD LLC

Doing business as Dr. Courville Family Practice

  • Family Medicine Physician
  • Kinder, LA
National Provider Identifier
1811324742
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204708 Issued in LA
Legal business name
MATTHEW R COURVILLE MD LLC
Doing business as
Dr. Courville Family Practice
Practice address
208 6TH Ave Ste 4
Kinder, LA 70648-3186
Phone
(337) 738-3500
Fax
(337) 335-0856
NPI assigned
Oct 9, 2013
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Dr. Matthew R Courville, MDNPI 1548584550
Title
MD
Phone
(337) 738-3500

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
Family Medicine Physician 207Q00000X 204708 LA Primary

Addresses

Primary practice location

208 6TH Ave Ste 4
Kinder, LA 70648-3186

Mailing address

PO Box 637
Kinder, LA 70648-0637
Phone (337) 738-3500

Other names 1

  • Dr. Courville Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

208 6th Ave
Ste 4
Kinder, LA 70648
Phone (337) 738-3500

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": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1811324742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "706480637",
            "telephone_number": "337-738-3500",
            "fax_number": "337-335-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 6TH AVE STE 4",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "706483186",
            "telephone_number": "337-738-3500",
            "fax_number": "337-335-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R COURVILLE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "COURVILLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "337-738-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "204708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Courville Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.