Paul Van Deventer, M.D., Apmc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PAUL VAN DEVENTER, M.D., APMC

Doing business as

Orthopaedic Clinic of Mandeville

Practice address

2330 N Causeway Blvd
Mandeville, LA 70471-6402

Phone

(985) 674-1700

Fax

(985) 674-1722

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Matthews Van Deventer, M.D.

Title

Physician/Owner

Phone

(985) 674-1700

Specialties & licenses 1

Addresses

Other names 1

• Orthopaedic Clinic of Mandeville Doing business as

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1902082175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716402",
            "telephone_number": "985-674-1700",
            "fax_number": "985-674-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716402",
            "telephone_number": "985-674-1700",
            "fax_number": "985-674-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL VAN DEVENTER, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "VAN DEVENTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MATTHEWS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "985-674-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Clinic of Mandeville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kathleen M. Paul, LCSW
• Geraldine Stewart Payne, M.D.
• Rebecca Payne, DDS, MS
• Virginia Catherine Jensen Peden, LMFT
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• Orthopaedic Surgery Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.