Organization Active NPI

Hawkeye Medical Urgent Care,LLC

  • Family Medicine Physician
  • Marksville, LA
National Provider Identifier
1902201379
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAWKEYE MEDICAL URGENT CARE,LLC
Practice address
597 Tunica Dr. W.
Marksville, LA 71351
Phone
(318) 253-7023
Fax
(318) 253-0864
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Warren Plauche, M.D.
Title
Owner
Phone
(318) 253-7023

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

597 Tunica Dr. W.
Marksville, LA 71351

Mailing address

597 Tunica Dr. W
Marksville, LA 71351
Phone (318) 253-7023

Other names 1

  • Hawkeye Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

597 Tunica Dr W
Marksville, LA 71351
Phone (318) 253-0677

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1902201379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 TUNICA DR. W",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "71351",
            "telephone_number": "318-253-7023",
            "fax_number": "318-253-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 TUNICA DR. W.",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "71351",
            "telephone_number": "318-253-7023",
            "fax_number": "318-253-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE MEDICAL URGENT CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "PLAUCHE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-253-7023",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawkeye Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.