NPIMap

Organization Active NPI

Advanced Therapeutic Services

  • Preferred Provider Organization
  • Terrytown, LA
National Provider Identifier
1831597137
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
305R00000X Issued in LA
Legal business name
ADVANCED THERAPEUTIC SERVICES
Practice address
1799 Stumpf Blvd BLDG 3
Terrytown, LA 70056-3950
Phone
(504) 407-0755
Fax
(504) 407-0778
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Mr. Rudolph Casanova ClarkeNPI 1417327388
Title
Owner
Phone
(504) 621-2306

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 305R00000X LA Primary

Addresses

Primary practice location

1799 Stumpf Blvd BLDG 3
Terrytown, LA 70056-3950

Mailing address

1799 Stumpf Blvd BLDG 3
Terrytown, LA 70056-3950
Phone (504) 407-0755

National Provider Directory

National Provider Directory

Locations

1799 Stumpf Blvd
Ste B4-4
Terrytown, LA 70056
Phone (504) 407-0755

Practitioners & affiliated clinicians

Practitioners 2

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": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1831597137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD BLDG 3",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-407-0755",
            "fax_number": "504-407-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD BLDG 3",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-407-0755",
            "fax_number": "504-407-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "CASANOVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-621-2306",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "305R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.