Dr Allen J Herbert a Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD010285 Issued in LA

Legal business name

DR ALLEN J HERBERT A MEDICAL CORP

Practice address

411 E Vaughn Ave
Suite 203
Ruston, LA 71270-5972

Phone

(318) 255-7474

Fax

(318) 254-5278

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Allen J Herbert, MD

Title

Owner

Phone

(318) 255-7474

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1962629212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1768",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711661768",
            "telephone_number": "318-677-7450",
            "fax_number": "318-425-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 203",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-7474",
            "fax_number": "318-254-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALLEN J HERBERT A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-255-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD010285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126403",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Marie Dorsett, NP
• Trimity Dorsey
• Felicia Douglas
• Lucy Douglas, NP
• Roslyn Trichelle Downs, LCSW
• Anthony Drayton
• Terri Dufour, LCSW
• Cornelius Dunaway
• Brittany Dunn
• Tanner Dunn, PT, DPT

• Family Medicine Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.