NPIMap

Organization Active NPI

Natchitoches Pediatric Associates

  • Pediatrics Physician
  • Natchitoches, LA
National Provider Identifier
1881036002
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.205867 Issued in LA
Legal business name
NATCHITOCHES PEDIATRIC ASSOCIATES
Practice address
617 Bienville St
Natchitoches, LA 71457-5730
Phone
(318) 214-3663
Fax
(318) 214-3665
NPI assigned
Jul 30, 2013
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NATCHITOCHES REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Mr. Willaim B McCormick
Title
Cfo
Phone
(318) 214-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.205867 LA Primary

Addresses

Primary practice location

617 Bienville St
Natchitoches, LA 71457-5730

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 663-6131

Other identifiers 1

IdentifierTypeStateIssuer
2321081MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Milton R Eichmann MD15 organizations share this tax ID, including this one
Part of
Milton R Eichmann MD

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1881036002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-663-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BIENVILLE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575730",
            "telephone_number": "318-214-3663",
            "fax_number": "318-214-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHITOCHES PEDIATRIC ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATCHITOCHES REGIONAL MEDICAL CENTER",
        "enumeration_date": "2013-07-30",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-214-4350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.205867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2321081",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.