Cardiology Clinic of Deridder

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

12663R Issued in LA

Legal business name

CARDIOLOGY CLINIC OF DERIDDER

Practice address

101 W 6TH St
Deridder, LA 70634-4963

Phone

(337) 460-1353

NPI assigned

Oct 11, 2007

Last updated

Jul 19, 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

Mrs. Kate Yue

Title

Off/Billing Manager

Phone

(337) 460-1353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1962690222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271962",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772771962",
            "telephone_number": "858-837-0731",
            "fax_number": "888-833-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 6TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344963",
            "telephone_number": "337-460-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CLINIC OF DERIDDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "YUE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OFF/BILLING MANAGER",
        "authorized_official_telephone_number": "337-460-1353",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "12663R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1572853",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan E Butler, M.D.
• David Paul Byrd, R.PH.
• Joshua Layne Cain
• Calcasieu Urgent Care LLC
• Calcasieu Urgent Care LLC
• Elizabeth Carson
• Douglas Todd Castille, P.D.
• Sharolyn Rose Chitty, FNP-C
• Jee Eun Choi, PHARMACIST
• Chris L Granger M D LLC

• Clinic/Center in Deridder, LA
• Providers in Deridder, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.