PEDIATRIC GROUP OF ACADIANA LLC


Address: 550 West Veterans Memorial Drive, Erath, LA 70533-3430
Phone: 3379186341

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
LA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Pediatric Group of Acadiana & Family Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 550 WEST VETERANS MEMORIAL DRIVE
City ERATH
State LA
Zip Code 70533-3430

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700129749 Abbeville General Hospital Clinic/Center 220 North Rd, Erath, LA 70533-3200 2013-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356942155 Clhg-ville Platte LLC Clinic/Center 804 E. Main Street, Ville Platte, LA 70586 2020-11-06
1568062446 Lhcg Clxix, LLC Clinic/Center 821 N Union St, Opelousas, LA 70570-6313 2020-10-29
1760089791 Blanchard Medical Clinic/Center 5948 N Market St, Shreveport, LA 71107-2017 2020-10-02
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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Competitor

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City ERATH
Zip Code 70533

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Dataset Information

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.

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