JARED GILMORE III (NPI# 1083685770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083685770 |
| Entity Type | Individual |
| Full Name | JARED GILMORE III |
| Credential | MD |
| Practice Address |
604 N Acadia Rd Ste 409 Thibodaux LA 70301-4897 |
| Mailing Address |
Po Box 5478 Ste 409 Thibodaux LA 70302-5478 |
| Practice Telephone | 9854494670 |
| Practice Fax Number | 9854492598 |
| Mailing Telephone | 9854494670 |
| Mailing Fax Number | 9854492598 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2017-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 020594 | LA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 020594 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1902560 | 05 |
| Street Address |
604 N ACADIA RD STE 409 |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668826 | Kenneth James Cruse | Pediatrics | 604 N Acadia Rd, Suite 200, Thibodaux, LA 70301-4897 | 2005-06-01 |
| 1336686088 | Amy Brannon Anderson | Social Worker | 604 N Acadia Rd, Suite 201, Thibodaux, LA 70301-4897 | 2017-01-19 |
| 1114339181 | Thibodaux Regional Network Development Corporation | Psychiatry & Neurology | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4897 | 2014-05-27 |
| 1891118576 | Dean Francis Click Jr. | Specialist/Technologist, Other | 604 N Acadia Rd, Ste 508, Thibodaux, LA 70301-4897 | 2014-01-30 |
| 1801136023 | Thibodaux Regional Network Development Corporation | Internal Medicine | 604 N Acadia Rd, Suite 411, Thibodaux, LA 70301-4897 | 2013-02-25 |
| 1164770418 | April D Sorrel | Pediatrics | 604 N Acadia Rd, Suite 200, Thibodaux, LA 70301-4897 | 2012-08-16 |
| 1215214366 | Cowen Clinic for Rehabilitation Medicine, Apmc | Specialist | 604 N Acadia Rd, Suite 100, Thibodaux, LA 70301-4897 | 2011-11-03 |
| 1306125133 | Thibodaux Regional Network Development Corporation | Internal Medicine | 604 N Acadia Rd, Ste 410, Thibodaux, LA 70301-4897 | 2011-08-10 |
| 1366754160 | Kim R Thompson | Social Worker | 604 N Acadia Rd, Suite 201, Thibodaux, LA 70301-4897 | 2010-07-08 |
| 1679896732 | Bariatric & Advanced Surgical | Surgery | 604 N Acadia Rd, Suite 406, Thibodaux, LA 70301-4897 | 2010-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851532964 | Thibodaux Regional Network Development Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 604 N Acadia Rd, Suite 409, Thibodaux, LA 70301-4897 | 2009-03-19 |
| 1164429171 | Tommy Lester Fudge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 604 N Acadia Rd, Suite 409, Thibodaux, LA 70301 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225376536 | Warren L Gottsegen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 865 Dubois Dr, Baton Rouge, LA 70808-5038 | 2013-01-21 |
| 1528355021 | Morrison Curtis Bethea | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1615 Poydras St Fl 23, New Orleans, LA 70112-1254 | 2011-07-05 |
| 1184913378 | Heart Lung and Vascular Clinic, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 Hodge Watson Rd, Calhoun, LA 71225-9786 | 2011-03-29 |
| 1548561194 | Emily V. Cassidy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4950 Essen Ln Fl 1, Baton Rouge, LA 70809 | 2010-11-13 |
| 1619113834 | Rudolph F Weichert IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 Rue Saint Peter, Unit 111, Metairie, LA 70005 | 2008-12-17 |
| 1639328131 | Cardiovascular and Thoracic Specialists, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 413 Highland Crossing St, Baton Rouge, LA 70810-5816 | 2008-09-09 |
| 1174732846 | Mohamad Allam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 155 Hospital Dr #301, Lafayette, LA 70503-2846 | 2007-05-21 |
| 1881737104 | Cardiothoracic Surgeons of The South, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1605 Foster St, Lake Charles, LA 70601-5815 | 2007-02-15 |
| 1326101254 | Blaine Mcdermott Borders | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 244 Saint Andrews Rd, Calhoun, LA 71225-7931 | 2006-12-19 |
| 1942220280 | Richard M Dearman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5000 Ambassador Caffery, Province Bldg. 14-a, Lafayette, LA 70508 | 2006-07-20 |
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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.