THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI# 1083921944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083921944 |
| Entity Type | Organization |
| Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Other Organization Name | THIBODAUX REGIONAL RHEUMATOLOGY CLINIC |
| Practice Address |
726 N Acadia Rd Ste 3400 Thibodaux LA 70301-4847 |
| Mailing Address |
Po Box 5478 Thibodaux LA 70302-5478 |
| Practice Telephone | 9854494656 |
| Practice Fax Number | 9854492532 |
| Mailing Telephone | 9854494656 |
| Mailing Fax Number | 9854492532 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | BONNIE R. LOKER (ACFO) |
| Authorized Official Telephone | 9854934778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2420852 | 05 |
| Other Name | Type Code |
|---|---|
| Thibodaux Regional Network Development Corporation - Rheumatology | Doing Business As Name - Organization |
| Thibodaux Regional Rheumatology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836166 | Thibodaux Regional Network Development Corporation | Podiatrist | 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | 2020-06-24 |
| 1003430257 | Thibodaux Regional Network Development Corporation | Surgery | 604 N Acadia Rd Ste 410, Thibodaux, LA 70301-4897 | 2020-06-03 |
| 1396162269 | Thibodaux Regional Network Development Corporation | Family Medicine | 114 Hwy 403, Paincourtville, LA 70391-0300 | 2014-03-27 |
| 1184963613 | Thibodaux Regional Network Development Corporation | Obstetrics & Gynecology | 604 N Acadia Rd Ste 500, Thibodaux, LA 70301-4743 | 2013-02-04 |
| 1467427336 | Thibodaux Regional Network Development Corporation | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2006-02-22 |
| 1043834260 | Thibodaux Regional Network Development Corporation | Urology | 504 N Acadia Rd, Thibodaux, LA 70301-4862 | 2020-06-03 |
| 1437664646 | Thibodaux Regional Network Development Corporation | Pathology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2017-12-11 |
| 1447701412 | Thibodaux Regional Network Development Corporation | Internal Medicine | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2016-10-14 |
| 1114339181 | Thibodaux Regional Network Development Corporation | Psychiatry & Neurology | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4897 | 2014-05-27 |
| 1215355128 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301-4847 | 2014-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION - RHEUMATOLOGY | 1105 Audubon Ave Ste B, Thibodaux, LA 70301-4940 |
| Street Address |
726 N ACADIA RD STE 3400 |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049743 | David Wadie Elias | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2006-05-15 |
| 1851918247 | Shane M Chiasson | Specialist/Technologist | 726 N Acadia Rd, Thibodaux, LA 70301-5051 | 2020-07-01 |
| 1215355128 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301-4847 | 2014-03-29 |
| 1396175857 | Thibodaux Regional Network Development Corporation | Pain Medicine | 726 N Acadia Rd, Ste 2400, Thibodaux, LA 70301-4847 | 2013-11-20 |
| 1134438906 | Thibodaux Regional Network Development Corporation | Neurological Surgery | 726 N Acadia Rd, Ste 2100, Thibodaux, LA 70301-4897 | 2010-09-28 |
| 1841469681 | Patrick Roan Ellender | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2008-02-26 |
| 1174662936 | John Christian Hildenbrand Iv | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2007-02-06 |
| 1548315500 | Richard A Morvant Jr. | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2007-01-23 |
| 1891887022 | Jason A. Higgins | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2006-09-28 |
| 1932130143 | Luis N Hernandez | Anesthesiology | 726 N Acadia Rd, Suite 2400, Thibodaux, LA 70301-4847 | 2006-07-05 |
| Find all providers in the same location | ||||
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447693619 | Ross J Thibodaux | Internal Medicine | 726 N Acadia Rd Ste 3400, Thibodaux, LA 70301 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517762 | Center for Orthopaedics and Spine LLC | Internal Medicine | 4150 Nelson Rd Ste C11, Lake Charles, LA 70605-4133 | 2020-10-30 |
| 1710430749 | Cypress Pointe Physicians Network, LLC | Internal Medicine | 70325 Highway 1077, Covington, LA 70433-7836 | 2016-07-26 |
| 1508143942 | James M Belue, A Medical Corporation | Internal Medicine | 707 South Vienna Sreet, Ruston, LA 71270-5845 | 2011-11-14 |
| 1962794404 | Louisiana Arthritis and Rheumatology,llc | Internal Medicine | 457 Ashley Ridge Blvd Ste C, Shreveport, LA 71106-7229 | 2011-05-03 |
| 1609166313 | Magdalena Budziakowska | Internal Medicine | 4315 Houma Blvd Ste 303, Metairie, LA 70006-2944 | 2011-04-14 |
| 1245554278 | Jerry Wayne Pounds Jr. | Internal Medicine | 2633 Napoleon Ave Ste # 530, New Orleans, LA 70115 | 2010-03-19 |
| 1396904090 | Harmanjot Kaur Grewal | Internal Medicine | 7777 Hennessy Blvd Ste 501a, Baton Rouge, LA 70808 | 2008-06-06 |
| 1164612479 | Bobby James Dupre | Internal Medicine | 4463 La Highway 1 S, Suite A, Port Allen, LA 70767-5989 | 2007-08-01 |
| 1336339118 | Austin Michael Fraser | Internal Medicine | 2633 Napoleon Ave Ste 530, New Orleans, LA 70115-7424 | 2007-07-27 |
| 1235349580 | Mary Katherine Walton | Internal Medicine | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
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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.