SEASONS MEDICAL AESTHETICS NPI 1437340684

NPI Information

  • NPI: 1437340684
  • Provider Name: SEASONS MEDICAL AESTHETICS
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 411 E VAUGHN AVE
    SUITE 201
    RUSTON, LA
    ZIP 71270
  • Phone: (318) 255-3223

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NPI Details

SEASONS MEDICAL AESTHETICS is an obstetrics gynecology in Ruston, LA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SEASONS MEDICAL AESTHETICS NPI is 1437340684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 E VAUGHN AVE
SUITE 201
RUSTON, LA
ZIP 71270-972
Phone: (318) 255-3223
Fax: (318) 255-3181

The provider's authorized official is Nathan Wayne Goodyear .
The authorized official title is Owner and has the following contact phone number (318) 255-3223.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology201086LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11453331MEDICAIDLOUISIANA
25CX71OTHERLOUISIANAMEDICARE
3I10823MEDICARE UPINLOUISIANA
4201086OTHERLOUISIANAMEDICAL LICENSE

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: 3/30/2025

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