STIEL MD LLC (NPI# 1013361187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013361187 |
| Entity Type | Organization |
| Organization Name | STIEL MD LLC |
| Practice Address |
4630 Ambassador Caffery Pkwy Ste 412 Lafayette LA 70508-6949 |
| Practice Telephone | 3379933933 |
| Mailing Telephone | 3379933933 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | ABIGAIL HART (OWNER) |
| Authorized Official Telephone | 5048586386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NW0100X |
General Acute Care Hospital Specialization: Women |
MD.207283 | LA | Hospitals |
| Y | 261Q00000X | Clinic/Center | MD.207283 | LA | Ambulatory Health Care Facilities |
| Street Address |
4630 AMBASSADOR CAFFERY PKWY STE 412 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703649 | George H Fuller | Obstetrics & Gynecology | 4630 Ambassador Caffery Pkwy, Ste 208, Lafayette, LA 70508-6949 | 2005-07-07 |
| 1013470004 | Fallon Savoy Guidry | Nurse Practitioner | 4630 Ambassador Caffery Pkwy, Ste 204, Lafayette, LA 70508 | 2019-04-08 |
| 1518349919 | Bader Kfoury | Internal Medicine | 4630 Ambassador Caffery Pkwy, Ste 408, Lafayette, LA 70508-6950 | 2015-06-22 |
| 1952749004 | Women's Healthcare Associates of Lafayette, LLC | Specialist | 4630 Ambassador Caffery Pkwy, Suite 408, Lafayette, LA 70508-6949 | 2013-06-11 |
| 1588950620 | Christina Elizabeth Primo | Audiologist | 4630 Ambassador Caffery Pkwy, Bldg. A, Suite 402, Lafayette, LA 70508-6949 | 2011-06-28 |
| 1376864140 | Loren Christian Thibodeaux | Audiologist-Hearing Aid Fitter | 4630 Ambassador Caffery Pkwy, Building A Suite 402, Lafayette, LA 70508-6949 | 2010-06-16 |
| 1295060200 | Sheridan Anesthesia Services of Louisana Inc | Anesthesiology | 4630 Ambassador Caffery Pkwy, Suite 101, Lafayette, LA 70508-6949 | 2009-10-08 |
| 1790943603 | Louisiana Center for Maternal-fetal Medicine | Specialist | 4630 Ambassador Caffery Pkwy, Suite 404, Lafayette, LA 70508-6949 | 2008-05-28 |
| 1124205372 | Women's & Children's Pediatric Orthopedic Center, LLC | Orthopaedic Surgery | 4630 Ambassador Caffery Pkwy, Suite 408, Lafayette, LA 70508-6949 | 2008-01-29 |
| 1265627509 | Womens Multi-specialty Group LLC | Surgery | 4630 Ambassador Caffery Pkwy, Suite 308, Lafayette, LA 70508-6949 | 2007-09-10 |
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|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
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| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1942659354 | Michele Mclaverty | Clinic/Center | 379 Castello Rd, Lafayette, CA 94549-5606 | 2016-06-07 |
| 1215385455 | Truth Soldier LLC | Clinic/Center | 1200 W South Boulder Rd Ste 103, Lafayette, CO 80026-2833 | 2016-05-27 |
| 1427425883 | Anu Gupta Desai, M.d., LLC | Clinic/Center | 155 Hospital Dr., Ste 300, Lafayette, LA 70503 | 2015-09-01 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1982045035 | Lafayette Family Healthcare Inc | Clinic/Center | 2008 Eraste Landry Rd, Suite B, Lafayette, LA 70506-1913 | 2013-07-17 |
| 1467710608 | Pediakare De Lousiana | Clinic/Center | 900 Walker Rd, Lafayette, LA 70506-1371 | 2012-04-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.