PEDIATRIC GROUP OF ACADIANA LLC (NPI# 1073973533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073973533 |
Entity Type | Organization |
Organization Name | PEDIATRIC GROUP OF ACADIANA LLC |
Other Organization Name | PEDIATRIC GROUP OF ACADIANA & FAMILY CLINIC |
Practice Address |
550 West Veterans Memorial Drive Erath LA 70533-3430 |
Practice Telephone | 3379186341 |
Practice Fax Number | 3379186346 |
Mailing Telephone | 3379186341 |
Mailing Fax Number | 3379186346 |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-03-10 |
Authorized Official Name | JIBRAN ATWI (MEMBER) |
Authorized Official Telephone | 3379186341 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
LA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Pediatric Group of Acadiana & Family Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619471463 | Pediatric Group of Acadiana LLC | Clinic/Center | 1048 East Ebey Street, Church Point, LA 70525-7052 | 2018-03-19 |
Street Address |
550 WEST VETERANS MEMORIAL DRIVE |
City | ERATH |
State | LA |
Zip Code | 70533-3430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841789682 | Brodie Bernard Theriot | Pharmacist | 310 North Geoffrey Street, Erath, LA 70533 | 2018-05-08 |
1700129749 | Abbeville General Hospital | Clinic/Center | 220 North Rd, Erath, LA 70533-3200 | 2013-03-28 |
1225583842 | Lauren Ledoux | Nurse Practitioner | 220 North Rd, Erath, LA 70533-3200 | 2016-08-24 |
1053652644 | Shawntel Marie Moore | Nurse Practitioner | 550 W Veterans Memorial Dr, Erath, LA 70533-3430 | 2013-03-07 |
1982021457 | Lindsay Mencacci Schexnider | Social Worker | 110 1/2 W Lastie St, Erath, LA 70533-3602 | 2014-03-23 |
1649291691 | D and L Family Drug Store | Durable Medical Equipment & Medical Supplies | 101 E Lastie St, Erath, LA 70533-3701 | 2006-07-22 |
1699046557 | Troy Renard Guilbeaux | Pharmacist | 101 E Lastie St, Erath, LA 70533-3701 | 2012-01-24 |
1821377649 | Erath Rx Inc | Pharmacy | 101 E Lastie St, Erath, LA 70533-3701 | 2011-08-10 |
1184248684 | Jacob Paul Broussard | Specialist/Technologist | 808 S Broadway St, Erath, LA 70533-4014 | 2020-06-01 |
1023188992 | Paul Randall Stutes | Pharmacist | 112 E Edward St, Erath, LA 70533-4108 | 2006-11-08 |
Find all providers in zip 70533 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700129749 | Abbeville General Hospital | Clinic/Center | 220 North Rd, Erath, LA 70533-3200 | 2013-03-28 |
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1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
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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.