Organization Active NPI

Jonah Healthcare, a Professional Medical Corporation

  • Primary Care Clinic/Center
  • Shreveport, LA
National Provider Identifier
1952761686
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JONAH HEALTHCARE, A PROFESSIONAL MEDICAL CORPORATION
Practice address
2328 Line Ave
Shreveport, LA 71104-2131
Phone
(318) 946-8793
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Howard Lippton
Title
President
Phone
(318) 946-8793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2328 Line Ave
Shreveport, LA 71104-2131

Mailing address

2328 Line Ave
Shreveport, LA 71104-2131

National Provider Directory

National Provider Directory

Locations

2328 Line Ave
Shreveport, LA 71104
Phone (318) 946-8793

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1952761686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042131",
            "telephone_number": "318-946-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONAH HEALTHCARE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "LIPPTON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-946-8793"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.