Bethesda Medical Clinic, LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

BETHESDA MEDICAL CLINIC, LLC

Practice address

1620 Belle Chasse Hwy Ste 101
Terrytown, LA 70056-7057

Phone

(504) 265-8304

Fax

(504) 309-4193

NPI assigned

Nov 20, 2018

Last updated

Jan 8, 2019By 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

Shibu Varughese, MDNPI 1346475506

Title

Member/Owner

Phone

(504) 265-8304

Specialties & licenses 3

Addresses

Tax ID family

Bethesda Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethesda Medical Clinic, LLC

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1912271412
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shibu Varughese, M.D.

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1346475506

  Geriatric Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1952870982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BELLE CHASSE HWY STE 101",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567057",
            "telephone_number": "504-265-8304",
            "fax_number": "504-309-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BELLE CHASSE HWY STE 101",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567057",
            "telephone_number": "504-265-8304",
            "fax_number": "504-309-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "VARUGHESE",
        "authorized_official_first_name": "SHIBU",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "504-265-8304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethesda Community Programs, Inc.
• Bethesda Community Programs, Inc.
• Bethesda Community Programs, Inc.
• Bethesda Community Programs, Inc.
• Bethesda Medical Clinic Infusion Center LLC (Bethesda Medical Clinic Infusion Center)
• Big Easy Therapy
• Denise Bilello, NP
• Blahnik Vision Center
• Scott M Blahnik, O.D.
• Blossoming Minds Health Center and Family Services LLC

• Hematology & Oncology Physician in Terrytown, LA
• Providers in Terrytown, LA by specialty
• Hematology & Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.