Organization Active NPI

Nicholson Baehr Calhoun MDS LTD Apmc

  • Family Medicine Physician
  • Marrero, LA
National Provider Identifier
1902858830
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NICHOLSON BAEHR CALHOUN MDS LTD APMC
Practice address
829 Barataria Blvd
Marrero, LA 70072-1839
Phone
(504) 347-4537
Fax
(504) 341-8425
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Jeff Henderson
Title
VP
Phone
(225) 753-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

829 Barataria Blvd
Marrero, LA 70072-1839

Mailing address

829 Barataria Blvd
Marrero, LA 70072-1839
Phone (504) 347-4537

Other identifiers 2

IdentifierTypeStateIssuer
1940054MedicaidLA
CP2574OtherLARAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902858830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721839",
            "telephone_number": "504-347-4537",
            "fax_number": "504-341-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721839",
            "telephone_number": "504-347-4537",
            "fax_number": "504-341-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSON BAEHR CALHOUN MDS LTD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "225-753-0887"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1940054",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP2574",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.