DR. MATTHEW MACK ABRAHAM (NPI# 1174511794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174511794 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW MACK ABRAHAM |
| Credential | M.D. |
| Practice Address |
100 Asma Blvd Suite 205 Lafayette LA 70508-3858 |
| Mailing Address |
2851 Johnston Street Pmb 517 Lafayette LA 70503-3243 |
| Practice Telephone | 3372895605 |
| Practice Fax Number | 3372895609 |
| Mailing Telephone | 3372051012 |
| Mailing Fax Number | 3372050818 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 024082 | LA | Allopathic & Osteopathic Physicians |
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
024082 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1488909 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 Kaliste Saloom Rd Ste 122, Lafayette, LA 705084230 | 3372359355 | 3372359356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912350448 | Matthew C Abraham | Dentist | 720 Garfield Ave, Ladysmith, WI 54848-1271 | 2016-07-20 |
| 1508002437 | Matthew John Abraham | Registered Nurse | 2405 Broadhead Rd, Aliquippa, PA 15001-4270 | 2008-12-23 |
| 1821130576 | Matthew S. Abraham | Dentist | 338 Kamokila Blvd Ste 203, Kapolei, HI 96707-2055 | 2007-02-12 |
| 1588927891 | Matthew Abraham | Surgery | 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 | 2012-06-21 |
| 1831388057 | Matthew Abraham | Respiratory Therapist, Certified | 9299 Kirby Dr, Houston, TX 77054-2520 | 2007-10-24 |
| Street Address |
100 ASMA BLVD SUITE 205 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372134 | Julia Kathleen Bull | Nurse Practitioner | 100 Asma Blvd, Bldg 1, Suite 205, Lafayette, LA 70508-3858 | 2005-08-09 |
| 1790339240 | Devin Dorian Parker | Case Manager/Care Coordinator | 100 Asma Blvd, Ste. 200, Lafayette, LA 70508-3868 | 2019-08-01 |
| 1629512389 | Laura Broussard | Counselor | 100 Asma Blvd, Lafayette, LA 70508 | 2016-12-14 |
| 1013381615 | Valerie Simon | Case Manager/Care Coordinator | 100 Asma Blvd, Lafayette, LA 70508 | 2015-11-19 |
| 1326325127 | Geriatric Psychological Services of Louisiana Apc | Psychologist | 100 Asma Blvd, Suite 237e, Lafayette, LA 70508-3858 | 2011-11-08 |
| 1487890448 | David Paul Wyman | Counselor | 100 Asma Blvd, Lafayette, LA 70508-3858 | 2008-12-22 |
| 1548314495 | Matthew Mack Abraham, LLC | Internal Medicine | 100 Asma Blvd, Bldg One, Ste 205, Lafayette, LA 70508-3858 | 2007-01-22 |
| 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 | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721853 | Saramed LLC | Family Medicine | 8020 Captain Dillon Ct, Shreveport, LA 71115-4606 | 2019-10-09 |
| 1992154827 | Deep Sleep, LLC | Family Medicine | 4912 Tulane Dr, Baton Rouge, LA 70808-4763 | 2016-06-10 |
| 1659839561 | Ssm Group Practice LLC | Family Medicine | 2612 Severn Ave, Metairie, LA 70002-5935 | 2019-03-10 |
| 1992236152 | Wk Shreveport Sleep Medicine | Family Medicine | 1666 E Bert Koun Loop, Suite 230, Shreveport, LA 71105-5714 | 2017-03-21 |
| 1881910040 | Mohammad Hammad Cheema | Family Medicine | 4232 Williams Blvd, Suite #108, Kenner, LA 70065-2271 | 2010-04-13 |
| 1245465541 | Shantan Bhargav Redd Ravula | Family Medicine | 14225 Highway 73, Prairieville, LA 70769-3616 | 2009-05-16 |
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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.