Adult Medicine and Diagnostic Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

022083 Issued in LA

Legal business name

ADULT MEDICINE AND DIAGNOSTIC CENTER

Practice address

2211 S Burnside Ave Ste 4
Gonzales, LA 70737-4634

Phone

(225) 647-1947

Fax

(225) 644-3943

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Hanna Kalinowska Vazquez

Title

Office Manager

Phone

(225) 647-1947

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos R Vazquez, M.D.

  • Internal Medicine Physician
  • Gonzales, LA
  • NPI 1326076266

  LA

  Medicare reassignment

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1902173271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S BURNSIDE AVE STE 4",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374634",
            "telephone_number": "225-647-1947",
            "fax_number": "225-644-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S BURNSIDE AVE STE 4",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374634",
            "telephone_number": "225-647-1947",
            "fax_number": "225-644-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICINE AND DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "HANNA",
        "authorized_official_middle_name": "KALINOWSKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-647-1947",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "022083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495859",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Access Granted Counseling and Consulting
• Action Therapy & Wellness Center, LLC
• Edwin Frank Adams III, OD
• Jason D. Adams, M.D.
• Trineqa Adams
• Adult Medicine Institute & Diagnostic Center
• Adv Services, LLC
• Advanced Rehabilitation of Gonzales
• Paul Cary Aguillard, M.D.
• Brittany B Aldridge

• All providers in Gonzales, LA
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.