Active NPI
Robert L. Mimeles, MD, Apmc
- Sports Medicine (Orthopaedic Surgery) Physician
- Metairie, LA
National Provider Identifier
1952587255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 011441
- Legal business name
- ROBERT L. MIMELES, MD, APMC
- Practice address
- 4720 S I 10 Service Rd W
Suite 301
Metairie, LA 70001-7404 - Phone
- (504) 885-8225
- NPI assigned
- Jan 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert L. Mimeles, MD
- Title
- President
- Phone
- (504) 885-8225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 011441 | LA | Primary |
Addresses
Primary practice location
4720 S I 10 Service Rd W
Suite 301
Metairie, LA 70001-7404
Mailing address
4720 S I 10 Service Rd W
Suite 301
Metairie, LA 70001-7404
Phone (504) 885-8225
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1156442 | Medicaid | LA | |
| DH0323 | Other | LA | MEDICARE RR |
| H9832 | Other | LA | BLUE CROSS BLUE SHIELD |
| 173236100 | Other | LA | DOL |
National Provider Directory
National Provider DirectoryLocations
4720 S I 10 Svc Rd W
Ste 301
Metairie, LA 70001
Phone (504) 885-8225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210636800000",
"number": "1952587255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 S I 10 SERVICE RD W",
"address_2": "SUITE 301",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700017404",
"telephone_number": "504-885-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 S I 10 SERVICE RD W",
"address_2": "SUITE 301",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700017404",
"telephone_number": "504-885-8225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L. MIMELES, MD, APMC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2008-05-13",
"status": "A",
"authorized_official_last_name": "MIMELES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-885-8225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "LA",
"license": "011441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1156442",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DH0323",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "H9832",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "173236100",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.