PEDIATRIC GENERAL SURGERY APMC (NPI# 1114957172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114957172 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GENERAL SURGERY APMC |
| Practice Address |
4650 Ambassador Caffery Pkwy Ste 202 Lafayette LA 70508-6926 |
| Mailing Address |
Po Box 81932 Lafayette LA 70598-1932 |
| Practice Telephone | 3379832468 |
| Practice Fax Number | 3379832471 |
| Mailing Telephone | 3379832468 |
| Mailing Fax Number | 3379832471 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. KENNETH W FALTERMAN (OWNER) |
| Authorized Official Telephone | 3379832468 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
4650 AMBASSADOR CAFFERY PKWY STE 202 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134116064 | George Jude Bares Md Apmc | Pediatrics | 4650 Ambassador Caffery Pkwy, Suite 201, Lafayette, LA 70508-6926 | 2005-10-05 |
| 1750640058 | Michael R Melancon, Md | Pediatrics | 4650 Ambassador Caffery Pkwy, Suite 105, Lafayette, LA 70508-6926 | 2012-05-08 |
| 1245514686 | Donna Zappi Fox Md LLC | Pediatrics | 4650 Ambassador Caffery Pkwy, Suite 204, Lafayette, LA 70508-6926 | 2011-10-04 |
| 1740588003 | Susan Lee Broussard | Nurse Practitioner | 4650 Ambassador Caffery Pkwy, Ste 206, Lafayette, LA 70508-6926 | 2011-03-09 |
| 1558539973 | Richard Warren Pratt | Pediatrics | 4650 Ambassador Caffery Pkwy, Suite 105, Lafayette, LA 70508 | 2008-02-19 |
| 1457557977 | Lafayette Pediatric Neurology Center, LLC | Pediatrics | 4650 Ambassador Caffery Pkwy, Suite 103, Lafayette, LA 70508-6926 | 2007-06-22 |
| 1992737621 | Michael Ray Melancon | Pediatrics | 4650 Ambassador Caffery Pkwy, Suite 105, Lafayette, LA 70508-6926 | 2006-07-06 |
| 1295722122 | George Jude Bares | Pediatrics | 4650 Ambassador Caffery Pkwy, Suite 201, Lafayette, LA 70508-6926 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080738 | Kenneth W Falterman | Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251884 | A'drianne Dorsey | Surgery | 2742 S Roth Ave, Gonzales, LA 70737-4823 | 2020-06-30 |
| 1518923317 | John B Lopoo Jr. | Surgery | 8200 Constantin Blvd Ste 220, Baton Rouge, LA 70809-3481 | 2006-04-21 |
| 1689672172 | Donald Lynn Sorrells Jr. | Surgery | 2508 Bert Kouns Industrial Loop, Shreveport, LA 71118-3133 | 2005-07-08 |
| 1316386436 | Wk Pediatric Surgical Associates | Surgery | 2508 Bert Kouns Loop, Shreveport, LA 71118-3133 | 2013-06-21 |
| 1386943579 | Jessica Aya Zagory | Surgery | 1542 Tulane Ave, Rm 734a, New Orleans, LA 70112-2865 | 2011-03-28 |
| 1720247364 | Fabienne Lee Gray | Surgery | 200 Henry Clay Ave, Office of Pediatric Surgery, New Orleans, LA 70118 | 2008-06-09 |
| 1487863627 | Shawn J Stafford | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2007-05-22 |
| 1548309156 | Pediatric Surgery of Louisiana, LLC | Surgery | 7777 Hennessy Blvd, Suite 212, Baton Rouge, LA 70808 | 2007-02-06 |
| 1902975543 | Benjamin B. Peeler | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-11-07 |
| 1801976238 | Mary Brandt | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2006-10-17 |
| 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.