NPIMap

Organization Active NPI

Pma Medical Treatment Centers, LLC

  • Adult Medicine Physician
  • Kenner, LA
National Provider Identifier
1881880763
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
PMA MEDICAL TREATMENT CENTERS, LLC
Practice address
613 Williams Blvd
Kenner, LA 70062-7635
Phone
(504) 441-5555
Fax
(504) 455-4357
NPI assigned
Sep 24, 2007
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Mrs. Marie T Patron
Title
Operating Manager
Phone
(504) 782-8267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

613 Williams Blvd
Kenner, LA 70062-7635

Mailing address

613 Williams Blvd
Kenner, LA 70062-7635
Phone (504) 441-5555

National Provider Directory

National Provider Directory

Locations

1405 Airline Dr
Metairie, LA 70001
Phone (504) 520-8967

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1881880763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627635",
            "telephone_number": "504-441-5555",
            "fax_number": "504-441-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627635",
            "telephone_number": "504-441-5555",
            "fax_number": "504-455-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMA MEDICAL TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "PATRON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "504-782-8267",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.