Active NPI
Womens Health & Pelvic Pain Group LLC
- Gynecology Physician
- Mandeville, LA
National Provider Identifier
1952594590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 15436R
- Legal business name
- WOMENS HEALTH & PELVIC PAIN GROUP LLC
- Practice address
- 1120 N Causeway Blvd
Suite 1
Mandeville, LA 70471-3209 - Phone
- (985) 674-4434
- Fax
- (985) 674-4374
- NPI assigned
- Aug 27, 2007
- 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. Beatrice S Desper, MD
- Title
- Owner
- Phone
- (985) 674-4434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 15436R | LA | Primary |
Addresses
Primary practice location
1120 N Causeway Blvd
Suite 1
Mandeville, LA 70471-3209
Mailing address
1120 N Causeway Blvd
Suite 1
Mandeville, LA 70471-3209
Phone (985) 674-4434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689647430 | Other | INDIVIDUAL NPI | |
| 5CY96 | Other | LA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
1120 N Causeway Blvd
Ste 1
Mandeville, LA 70471
Phone (985) 674-4434
723 N Causeway Blvd
Mandeville, LA 70448
Phone (985) 674-4434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1952594590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N CAUSEWAY BLVD",
"address_2": "SUITE 1",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713209",
"telephone_number": "985-674-4434",
"fax_number": "985-674-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N CAUSEWAY BLVD",
"address_2": "SUITE 1",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713209",
"telephone_number": "985-674-4434",
"fax_number": "985-674-4374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS HEALTH & PELVIC PAIN GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "DESPER",
"authorized_official_first_name": "BEATRICE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-674-4434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "LA",
"license": "15436R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1689647430",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "5CY96",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.