Active NPI
Beauregard Hematolog & Oncology
- Internal Medicine Physician
- Deridder, LA
National Provider Identifier
1821419334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD206603
- Legal business name
- BEAUREGARD HEMATOLOG & ONCOLOGY
- Practice address
- 301 S. Washington St.
Ste B
Deridder, LA 70634 - Phone
- (337) 463-4777
- Fax
- (337) 463-4770
- NPI assigned
- Dec 31, 2013
- Last updated
- Dec 31, 2013
- Organization subpart
- Yes
- Parent organization
- BEAUREGARD HEMATOLOGY & ONCOLOGY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy G. Kennedy, PRACTICE MANAGER
- Title
- Practice Manager
- Phone
- (337) 463-4777
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD206603 | LA | Primary |
| Hematology & Oncology Physician | 207RH0003X | MD206603 | LA |
Addresses
Primary practice location
301 S. Washington St.
Ste B
Deridder, LA 70634
Mailing address
301 S. Washington St.
Ste B
Deridder, LA 70634
Phone (337) 463-4777
National Provider Directory
National Provider Directory- Part of
- Beauregard Hematology Onco
Locations
301 S Washington St
#B
Deridder, LA 70634
Phone (337) 460-7688
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Deridder, LA
- NPI 1881015345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388448000000",
"number": "1821419334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S. WASHINGTON ST.",
"address_2": "STE B",
"city": "DERIDDER",
"state": "LA",
"postal_code": "70634",
"telephone_number": "337-463-4777",
"fax_number": "337-463-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S. WASHINGTON ST.",
"address_2": "STE B",
"city": "DERIDDER",
"state": "LA",
"postal_code": "70634",
"telephone_number": "337-463-4777",
"fax_number": "337-463-4770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUREGARD HEMATOLOG & ONCOLOGY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BEAUREGARD HEMATOLOGY & ONCOLOGY",
"enumeration_date": "2013-12-31",
"last_updated": "2013-12-31",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "337-463-4777",
"authorized_official_credential": "PRACTICE MANAGER"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD206603",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "LA",
"license": "MD206603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
- Beauregard Arc (Beaueregard Association for Retarded Citizens Inc)
- Beauregard Behavioral Health Clinic
- Beauregard Emergency Group LLC
- Beauregard Family Medical Center, LLC
- Beauregard Family Medicine LLC
- Beauregard Hematology & Oncology
- Beauregard Internal Medicine Center, LLC
- Beauregard Medical and Surgical Center, LLC
- Beauregard Medical Solutions LLC (Beauregard Medical Supply)
- Beauregard Medical Supply
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.