GORDON B MASSENGALE A MEDICAL CORP
NPI 1154642015
Family Medicine in Rayville, LA

NPI Status: Active since June 15, 2010

Contact Information

111 CHRISTIAN DR
RAYVILLE, LA
ZIP 71269
Phone: (318) 728-3263
Fax: (318) 728-3095

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  • Organization
  • Family Medicine

About GORDON B MASSENGALE A MEDICAL CORP

This page provides the complete NPI Profile along with additional information for Gordon B Massengale A Medical Corp, a primary care provider established in Rayville, Louisiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1154642015 assigned on June 2010. The practitioner's primary taxonomy code is 207Q00000X with license number 012197 (LA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Gordon B Massengale Iii M.d. (President)

NPI
1154642015
Provider Name
GORDON B MASSENGALE A MEDICAL CORP
Entity Type
Organization
Location Address
111 CHRISTIAN DR RAYVILLE, LA 71269
Location Phone
(318) 728-3263
Location Fax
(318) 728-3095
Mailing Address
PO BOX 960 RAYVILLE, LA 71269
Mailing Phone
(318) 728-3263
Mailing Fax
(318) 728-3095
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2010
Last Update Date
06-15-2010
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A primary care provider (PCP) like Gordon B Massengale A Medical Corp sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
012197
License State
LA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GORDON B MASSENGALE III M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(318) 728-3263

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1160717MEDICAID (05)LA 
C67544MEDICARE UPIN (02)LA 
53443MEDICARE PIN (08)LA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154642015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104124402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 4 + 4 + 0 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1154642015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255331443 GORDON B. MASSENGALE III M.D.
Individual
Family Medicine111 CHRISTIAN DR
RAYVILLE, LA 71269
(318) 728-3263
1265039366 JESSICA HAGAN
Individual
Nurse Practitioner (Family)111 CHRISTIAN DR
RAYVILLE, LA 71269
(318) 728-4400
1407869183DR. EUIL EUGENE LUTHER M.D.
Individual
Family Medicine111 CHRISTIAN DR
RAYVILLE, LA 71269
(318) 728-4400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154642015, enumerated in the NPI registry as an "organization" on June 15, 2010

The provider is located at 111 Christian Dr Rayville, La 71269 and the phone number is (318) 728-3263

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 15, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.