Organization Active NPI

Womens Health & Pelvic Pain Group LLC

  • Gynecology Physician
  • Mandeville, LA
National Provider Identifier
1952594590
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
15436R Issued in LA
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

Updated by the provider on May 7, 2008

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1689647430OtherINDIVIDUAL NPI
5CY96OtherLAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.