Gordon B. Massengale in Rayville - Family Medicine
Gordon B. Massengale - NPI 1255331443
Gordon B. Massengale is a Family Medicine in Rayville, Louisiana. Gordon B. Massengale practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gordon B. Massengale is 1255331443. The last update date is 2011-11-03.
Gordon B. Massengale's current location address is Po Box 960, Rayville, Louisiana. You can contact this provider via phone number 3187283263 and fax number 3187283095. The mailing address for Gordon B. Massengale is Po Box 960, Rayville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon B. Massengale |
|---|---|
| Address | Po Box 960, Rayville, Louisiana |
| Phone Number | 3187283263 |
| Fax Number | 3187283095 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255331443 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | Po Box 960 |
|---|---|
| City | Rayville |
| State | Louisiana (LA) |
| Post Code | 712690960 |
| Phone Number | 3187283263 |
| Fax Number | 3187283095 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 12197 |
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Definition: 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 i |
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What is the unique 10-digit identifier code issued to Gordon B. Massengale by the Centers for Medicare & Medicaid Services?
The Gordon B. Massengale has been assigned the NPI (National Provider Identifier) 1255331443 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Gordon B. Massengale's physical address?
The Gordon B. Massengale is physically located at Po Box 960, in the city of Rayville, LA, with the postal code 712690960.
What is the Gordon B. Massengale's area of specialization and corresponding taxonomy classification?
The Gordon B. Massengale's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Gordon B. Massengale receive the assignment of its 1255331443 from the Centers for Medicare & Medicaid Services?
The Gordon B. Massengale was issued its 1255331443 by the Centers for Medicare & Medicaid Services on 2005-07-28.
When was the information pertaining to Gordon B. Massengale most recently updated or revised?
The details related to Gordon B. Massengale, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-03.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN