P. Joshua Mammen M.D. a.P.M.C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

05428R Issued in LA

Legal business name

P. JOSHUA MAMMEN M.D. A.P.M.C

Practice address

713 N Eastern Ave
Crowley, LA 70526-3856

Phone

(337) 788-2216

Fax

(337) 783-9407

NPI assigned

May 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joshua P Mammen, M.D.

Title

General Surgeon/Owner

Phone

(337) 788-2216

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1881861706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N MONTGOMERY AVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705482923",
            "telephone_number": "337-643-1747",
            "fax_number": "337-643-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N EASTERN AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263856",
            "telephone_number": "337-788-2216",
            "fax_number": "337-783-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. JOSHUA MAMMEN M.D. A.P.M.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MAMMEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "GENERAL SURGEON/OWNER",
        "authorized_official_telephone_number": "337-788-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "05428R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320501",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639255995",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amelia Papillion
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• Pediatric Group of Acadiana LLC (Kids Clinic and Adult Wellness of Crowley)

• Surgery Physician in Crowley, LA
• Providers in Crowley, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.