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

Active since June 15, 2010
111 CHRISTIAN DR, RAYVILLE, LA 71269(318) 728-3263(318) 728-3095 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gordon B Massengale A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON B MASSENGALE A MEDICAL CORP (NPI 1154642015) is a healthcare organization registered as a family medicine in Rayville, Louisiana and active in the NPI registry since June 2010. The organization lists Gordon B Massengale, President, as its authorized official.

NPPES Registry Identity

NPI1154642015
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGORDON B MASSENGALE A MEDICAL CORP
Location Address111 CHRISTIAN DRRayville, LA 71269-3658
Mailing AddressPo Box 960Rayville, LA 71269-0960 · (318) 728-3263 · Fax (318) 728-3095
Phone(318) 728-3263
Fax(318) 728-3095
Organization SubpartNo
Authorized OfficialGordon B MassengalePresident · (318) 728-3263
Enumeration DateJune 15, 2010
✔ NPI 1154642015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 012197
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 is not limited by age, sex, organ system, or disease entity.
111 CHRISTIAN DR, Rayville, LA 71269
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Other Identifiers 3

Medicaid1160717LA
Medicare UPINC67544LA
Medicare PIN53443LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GORDON B. MASSENGALE III M.D.
Family Medicine
111 CHRISTIAN DR
RAYVILLE, LA 71269
Richland Parish (318) 728-3263
JESSICA HAGAN
Nurse Practitioner (Family)
111 CHRISTIAN DR
RAYVILLE, LA 71269
Richland Parish (318) 728-4400
DR. EUIL EUGENE LUTHER M.D.
Family Medicine
111 CHRISTIAN DR
RAYVILLE, LA 71269
Richland Parish (318) 728-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon B Massengale A Medical Corp's NPI number?

The NPI number for Gordon B Massengale A Medical Corp is 1154642015. It was assigned to this organization in the NPPES registry on June 15, 2010.

Where is Gordon B Massengale A Medical Corp located?

Gordon B Massengale A Medical Corp is located at 111 Christian Dr, Rayville, LA 71269. The listed phone number is (318) 728-3263.

What is Gordon B Massengale A Medical Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gordon B Massengale A Medical Corp was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.