Pegasus Medical Services, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

012235 Issued in LA

Legal business name

PEGASUS MEDICAL SERVICES, INC.

Practice address

1136 Oliver Rd
Monroe, LA 71201-5714

Phone

(318) 322-3250

Fax

(318) 322-3260

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Stage, MD

Title

Owner

Phone

(318) 322-3520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1942486535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 OLIVER RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015714",
            "telephone_number": "318-322-3250",
            "fax_number": "318-322-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 OLIVER RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015714",
            "telephone_number": "318-322-3250",
            "fax_number": "318-322-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "STAGE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-322-3520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": "012235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Monroe, LA
• Providers in Monroe, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.