Provider Type Icon

MAYFIELD ADVANCED MEDICAL LLC NPI 1710495627


NPI Information

NPI: 1710495627
Provider Name: MAYFIELD ADVANCED MEDICAL, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5419 JACKSON ST EXT STE B
ALEXANDRIA, LA
ZIP 71303
Phone: (318) 787-2708
Get Directions

MAYFIELD ADVANCED MEDICAL, LLC is a general practice in Alexandria, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MAYFIELD ADVANCED MEDICAL, LLC NPI is 1710495627. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5419 JACKSON ST EXT STE B
ALEXANDRIA, LA
ZIP 71303-322
Phone: (318) 787-2708
Fax: (318) 787-2716

The provider's authorized official is Conrad Martin Taylor .
The authorized official title is Owner and has the following contact phone number (318) 787-2708.

The enumeration date for this NPI number is 1/12/2018 and was last updated on 1/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.