Organization Active NPI

Internal Medicine Clinic of Morgan City, LLC

  • Internal Medicine Physician
  • Morgan City, LA
National Provider Identifier
1821095407
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024948 Issued in LA
Legal business name
INTERNAL MEDICINE CLINIC OF MORGAN CITY, LLC
Practice address
1126 Marguerite St
Morgan City, LA 70380-1854
Phone
(985) 702-8500
Fax
(985) 702-8507
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Francis H Metz III, M.D.NPI 1447257001
Title
Doctor
Phone
(985) 702-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 025614 LA
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 025965 LA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 024948 LA Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 024914 LA

Addresses

Primary practice location

1126 Marguerite St
Morgan City, LA 70380-1854

Mailing address

1126 Marguerite St
Morgan City, LA 70380-1854
Phone (985) 702-8500

Other identifiers 1

IdentifierTypeStateIssuer
1445606MedicaidLA

Other names 1

  • Medicine Clinic of Morgan City Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224001178 LA Part B Supplier - Clinic/Group Practice 8527954866 Receives reassigned benefits from 6 practitioners
Practice locations: Morgan City, LA

National Provider Directory

National Provider Directory

Locations

1151 Marguerite St
Ste 800
Morgan City, LA 70380
Phone (985) 224-0410

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1821095407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 MARGUERITE ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801854",
            "telephone_number": "985-702-8500",
            "fax_number": "985-702-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MARGUERITE ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801854",
            "telephone_number": "985-702-8500",
            "fax_number": "985-702-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CLINIC OF MORGAN CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "985-702-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025614",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025965",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024948",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024914",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445606",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Clinic of Morgan City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.