Med-Peds Associates Apmc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MED-PEDS ASSOCIATES APMC

Doing business as

Susan F Ovella MD and Jacques L Guillot MD

Practice address

804 Heavens Dr
Suite 106
Mandeville, LA 70471

Phone

(985) 845-0004

Fax

(985) 845-0870

NPI assigned

Aug 9, 2006

Last updated

Feb 25, 2008By 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. Joe Anne Wells

Title

Manager

Phone

(985) 845-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan F Ovella MD and Jacques L Guillot MD Doing business as

Locations

Practitioners 2

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.

• Jacques L Guillot, MD

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1881706778
  NPD (past)
• Susan F Ovella, MD

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1104836790
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1972513117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LOUISIANA HWY 22",
            "address_2": "PMB 604",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-845-0004",
            "fax_number": "985-845-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HEAVENS DR",
            "address_2": "SUITE 106",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-845-0004",
            "fax_number": "985-845-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PEDS ASSOCIATES APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-845-0004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445975",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan F Ovella MD and Jacques L Guillot MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Mumme McShan Jr., M.ED., LPC, LAC, NCC
• Seth Conrad McVea, MD
• David Scott McWilliams, MPT
• Yancey Rizzo McWilliams, PT
• Natalie Mecklenborg, PHARM D
• Medical Pioneers, LLC
• Lori Melancon
• Lisa G. Melek, FNP
• James Melton
• Jeff T Menard

• Family Medicine Physician in Mandeville, LA
• Providers in Mandeville, 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 Feb 25, 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.