CHILDREN'S CRITICAL CARE NETWORK OF LOUISIANA (NPI# 1184796476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184796476 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S CRITICAL CARE NETWORK OF LOUISIANA |
| Practice Address |
4600 Ambassador Caffery Pkwy Lafayette LA 70508-6902 |
| Mailing Address |
3006 S Maryland Pkwy 505 Las Vegas NV 89109-2218 |
| Practice Telephone | 8883502911 |
| Practice Fax Number | 7023695827 |
| Mailing Telephone | 8883502911 |
| Mailing Fax Number | 7023695827 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES D SWIFT (OWNER AND PRESIDENT) |
| Authorized Official Telephone | 8883502911 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4600 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635508 | Joan Grode Marshak | Pathology | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2005-08-09 |
| 1023630365 | Ellis Nguyen | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-09 |
| 1376165837 | Thai Cao | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-07 |
| 1649892183 | Martin Nguyen | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-06 |
| 1437798865 | Nicholas Mccullough | Nurse Anesthetist, Certified Registered | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-01-02 |
| 1669970489 | Morgan Adams Eason | Physician Assistant | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6923 | 2018-01-26 |
| 1770023079 | Brittany Shaheen Lanclos | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2017-03-06 |
| 1689022139 | Janis Lee Lydick | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2016-05-25 |
| 1295195253 | Tricia Ann Templet | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2016-03-02 |
| 1891152385 | Brandi Prather | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2016-01-28 |
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| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326002841 | William Robert Pace | Pediatrics | 107 Montrose Ave, Suite D, Lafayette, LA 70503-3852 | 2006-04-13 |
| 1891940912 | Lafayette Health Ventures Inc. | Pediatrics | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2008-11-18 |
| 1003833955 | Karl M. Valcourt | Pediatrics | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2006-07-16 |
| 1598706053 | Gerald Alan Ross | Pediatrics | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235366626 | Kurt D. Piggott | Pediatrics | 200 Henry Clay Ave., Acc 3308, New Orleans, LA 70118 | 2009-06-12 |
| 1659540375 | Shafqat Mahmood Cheema | Pediatrics | 6511 Arden Oaks, Alexandria, LA 71301-2863 | 2008-02-27 |
| 1932256765 | Kelechi Nneoma Iheagwara | Pediatrics | 7777 Hennessy Blvd. Suite 103, Pediatric Intensivists of La, Baton Rouge, LA 70808 | 2007-01-04 |
| 1023074549 | Wk Pediatric Intensivist | Pediatrics | 2510 Bert Koun Loop Rm 4003, Shreveport, LA 71118-3119 | 2006-04-24 |
| 1992792535 | Giao N Do | Pediatrics | 2510 Bert Koun Loop, Room 4003, Shreveport, LA 71118-3119 | 2005-09-29 |
| 1427570555 | Daniele Wilson | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2017-07-11 |
| 1215297957 | Ashley Loren Scheffer | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2012-05-28 |
| 1326304338 | Hannah Bauer | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118 | 2012-04-03 |
| 1972879781 | Rachel Lynn Hansen | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2012-03-26 |
| 1639465180 | Melissa Dawn Crowder | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2011-06-23 |
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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.