OrganizationActive
Paul Van Deventer MD Apmc
NPI 1104337559 · Non-Pharmacy Dispensing Site · Covington, LA
Paul Van Deventer MD Apmc is a Non-Pharmacy Dispensing Site organization in Covington, LA (NPI 1104337559).
Provider details
- NPI number
- 1104337559
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Mackenzie Hahn, Ncpdp Coordinator(479) 636-9702
- License
- MD.025612 (LA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 Pinnacle Pkwy Ste 3
Covington, LA 70433-9169
Phone: (479) 636-9702
Fax: (877) 427-2307
Street-level locationGet directions
Mailing address
Po Box 3328
Bentonville, AR 72712
Other names (DBA / former)
- Doing business as
- Pinnacle Orthopaedics
Registry dates
- Enumerated
- 2017-10-12
- Last updated
- 2017-11-16
Frequently asked questions
- What is Paul Van Deventer MD Apmc's NPI number?
- Paul Van Deventer MD Apmc's National Provider Identifier (NPI) is 1104337559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paul Van Deventer MD Apmc?
- Paul Van Deventer MD Apmc is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Paul Van Deventer MD Apmc located?
- Paul Van Deventer MD Apmc's practice location on file with NPPES is 1200 Pinnacle Pkwy Ste 3, Covington, LA 70433-9169.
- What is Paul Van Deventer MD Apmc's phone number?
- The practice phone number listed in the NPPES registry for Paul Van Deventer MD Apmc is (479) 636-9702.
- Who is the authorized official for Paul Van Deventer MD Apmc?
- The authorized official listed on Paul Van Deventer MD Apmc's NPPES record is Mackenzie Hahn, Ncpdp Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paul Van Deventer MD Apmc's NPI active?
- Yes — Paul Van Deventer MD Apmc's NPI (1104337559) is active in the NPPES registry as of the last update on 2017-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.