Individual provider Active NPI

Ted P Kemp, M.D.

  • Internal Medicine Physician
  • Denham Springs, LA
National Provider Identifier
1821094574
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.018237 Issued in LA
Practice address
315 Veterans Blvd
Denham Springs, LA 70726-4722
Phone
(225) 667-5110
Fax
(225) 667-9303
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.018237 LA Primary

Addresses

Primary practice location

315 Veterans Blvd
Denham Springs, LA 70726-4722

Mailing address

315 Veterans Blvd
Denham Springs, LA 70726-4722
Phone (225) 667-5110

Other identifiers 1

IdentifierTypeStateIssuer
1376558MedicaidLA

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

LicenseStateTypeSpecialty
MD.018237LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Hospital Inc Internal Medicine Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1821094574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264722",
            "telephone_number": "225-667-5110",
            "fax_number": "225-667-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264722",
            "telephone_number": "225-667-5110",
            "fax_number": "225-667-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "TED",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.018237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376558",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2008; 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.