ACADIANA RADIOLOGY GROUP, APMC (NPI# 1013960160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013960160 |
| Entity Type | Organization |
| Organization Name | ACADIANA RADIOLOGY GROUP, APMC |
| Practice Address |
611 Saint Landry St Lafayette LA 70506-4627 |
| Mailing Address |
Po Box 52545 Lafayette LA 70505-2545 |
| Practice Telephone | 3372892180 |
| Practice Fax Number | 3372892677 |
| Mailing Telephone | 3372892180 |
| Mailing Fax Number | 3372892677 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | DR. VICTOR H GUNDERSON JR. (CLIENT SUPPORT REP/CREDENTIALING) |
| Authorized Official Telephone | 3372892180 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1796727 | 05 |
| Street Address |
611 SAINT LANDRY ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118094 | Our Lady of Lourdes Regional Medical Center | Skilled Nursing Facility | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2005-10-13 |
| 1962708842 | Jessica Lynn Turner | Nurse Anesthetist, Certified Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2011-02-09 |
| 1497904718 | Hospitalist Medicine Physicians of Louisiana, LLC | Internal Medicine | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2008-09-10 |
| 1972706364 | Donna Guidry | Dietitian, Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2007-06-06 |
| 1639372014 | Aimee M Courville | Dietitian, Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2007-06-06 |
| 1427101914 | Hugh James Francis Robertson | Radiology | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2007-01-19 |
| 1073677340 | Joy Jeanette Ducote | Dietitian, Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-12-21 |
| 1821177486 | Jess Crosier | Pathology | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-11-03 |
| 1023104551 | Our Lady of Lourdes Regional Medical Center | General Acute Care Hospital | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-10-04 |
| 1104938273 | Donna F Comeaux | Nurse Anesthetist, Certified Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
| 1578937744 | Modesto Radiological Medical Group | Radiology | 2283 Hidden Pond Ln, Lafayette, CA 94549-1742 | 2015-11-25 |
| 1629411210 | Lowell David Froker | Radiology | 32 Olympic Oaks Dr, Lafayette, CA 94549-4800 | 2013-04-12 |
| 1386987196 | Imaging Partners Medical Group | Radiology | 3976 Canyon Rd, Lafayette, CA 94549-2702 | 2013-03-29 |
| 1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
| 1578811386 | Maurice Louis Bercier | Radiology | 309 Steiner Road, Lafayette, LA 70508 | 2012-08-28 |
| 1295024222 | Lourdes Imaging Center LLC | Radiology | 4809 Ambassador Caffery Parkway, Suite 350, Lafayette, LA 70508 | 2011-03-30 |
| 1467784744 | Delano Zeus Arvin | Radiology | 6233 N 700 E, Lafayette, IN 47905-9761 | 2010-02-11 |
| 1003045287 | Professional Radiology Network Tlc-prn, LLC | Radiology | 107 Kempton Dr, Lafayette, LA 70508-6547 | 2009-07-08 |
| Find all providers in LAFAYETTE | ||||
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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.