NPIMap

Organization Active NPI

Premier Heart Centers of la, LLC

  • Cardiovascular Disease Physician
  • Bogalusa, LA
National Provider Identifier
1922240902
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD.08620R Issued in LA
Legal business name
PREMIER HEART CENTERS OF LA, LLC
Practice address
1407 Avenue F
Bogalusa, LA 70427-4340
Phone
(985) 735-8022
Fax
(985) 735-8024
NPI assigned
Apr 6, 2009
Last updated
Apr 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Victor Eligo Mejia, MDNPI 1750383949
Title
Owner
Phone
(985) 735-8022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD.08620R LA Primary

Addresses

Primary practice location

1407 Avenue F
Bogalusa, LA 70427-4340

Mailing address

PO Box 578
Bogalusa, LA 70429-0578
Phone (985) 735-8022

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1922240902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704290578",
            "telephone_number": "985-735-8022",
            "fax_number": "985-735-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274340",
            "telephone_number": "985-735-8022",
            "fax_number": "985-735-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEART CENTERS OF LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ELIGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-735-8022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.08620R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.