Medical Creations LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD203355 Issued in LA

Legal business name

MEDICAL CREATIONS LLC

Practice address

2424 Williams Blvd
Suite J
Kenner, LA 70062-5763

Phone

(646) 644-7303

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Yelena Ivanova, MD

Title

President

Phone

(646) 644-7303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1982912317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 WILLIAMS BLVD",
            "address_2": "SUITE J",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625763",
            "telephone_number": "646-644-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 WILLIAMS BLVD",
            "address_2": "SUITE J",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625763",
            "telephone_number": "646-644-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CREATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "IVANOVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-644-7303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD203355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Kenner, LA
• Providers in Kenner, 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 Sep 20, 2010; 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.