Physicians Medical Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PHYSICIANS MEDICAL CENTER LLC

Doing business as

Physicians Primary Care Houma

Practice address

131 Corporate Dr
Houma, LA 70360-2767

Phone

(985) 580-9990

Fax

(985) 580-9984

NPI assigned

May 5, 2016

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians Primary Care Houma Doing business as

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1942656228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CORPORATE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602768",
            "telephone_number": "985-580-9990",
            "fax_number": "985-580-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CORPORATE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602767",
            "telephone_number": "985-580-9990",
            "fax_number": "985-580-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5900"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B",
            "identifier": "5F804",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Primary Care Houma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physicians Primary Care Houma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physician Practice Partners
• Physician Practice Partners
• Physicians Group Laboratories, LLC
• Physicians Imaging - Houma, LLC
• Physicians Imaging-Houma Associates, LLC
• Physicians Medical Center, LLC
• Physicians Medical Center, LLC (Physicians Urgent Care Center)
• Anita Picciola, LCSW
• Lacey Picou-Billiot, MA, LPC, LMFT
• Melanie Pierre-George, RSW

• Primary Care Clinic/Center in Houma, LA
• Providers in Houma, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.