THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI# 1215355128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215355128 |
| Entity Type | Organization |
| Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Other Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION - ENDOCRINOLOGY |
| Practice Address |
726 N Acadia Rd Ste 3300 Thibodaux LA 70301-4847 |
| Mailing Address |
Po Box 5478 Thibodaux LA 70302-5478 |
| Practice Telephone | 9854933080 |
| Practice Fax Number | 9854934007 |
| Mailing Telephone | 9854933080 |
| Mailing Fax Number | 9854934007 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | STEVE GAUBERT (AGENT) |
| Authorized Official Telephone | 9854934721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Thibodaux Regional Network Development Corporation - Endocrinology | 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 |
| 1396175857 | Thibodaux Regional Network Development Corporation | Pain Medicine | 726 N Acadia Rd, Ste 2400, Thibodaux, LA 70301-4847 | 2013-11-20 |
| 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 3300 |
| 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 |
| 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 |
| 1083921944 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3400, Thibodaux, LA 70301-4847 | 2010-09-13 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1932337052 | Lane Mikael Frey | Internal Medicine | 726 N Acadia Rd., Ste 3300, Thibodaux, LA 70301 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316413560 | Southern Endocrinology LLC | Internal Medicine | 102 Thomas Rd Ste 113, West Monroe, LA 71291-7365 | 2018-10-15 |
| 1689913832 | Sylvia Ann Heidingsfelder | Internal Medicine | 5805 Highland Rd, Baton Rouge, LA 70808-6559 | 2013-02-07 |
| 1649562604 | Dragana Lovre | Internal Medicine | 1430 Tulane Ave # 8553, New Orleans, LA 70112-2632 | 2011-05-10 |
| 1902123995 | Abdul Mannan Khan | Internal Medicine | 15813 Paul Vega Md Dr Ste 300a, Hammond, LA 70403-1431 | 2010-04-29 |
| 1598928749 | Edward L. Michals | Internal Medicine | 2639 Desoto St, New Orleans, LA 70119-3008 | 2008-07-08 |
| 1295994432 | Karen E. Friday | Internal Medicine | 1012 Philip St, New Orleans, LA 70130-5552 | 2008-06-03 |
| 1548306137 | Lydia Yvonne Melendez Ramirez | Internal Medicine | 1400 Poydras St, Ambulatory Dept 3rd Floor, New Orleans, LA 70112-5100 | 2007-01-30 |
| 1215009360 | Mark Christian Lueg | Internal Medicine | 300 Mariners Plaza, Suite 303, Manderville, LA 70448 | 2006-11-14 |
| 1255448973 | Iberia General Hospital and Medical Center | Internal Medicine | 2205 Old Jeanerette Rd, New Iberia, LA 70563-8687 | 2006-08-25 |
| 1962436097 | Gay M Story | Internal Medicine | 5428 Odonovan Dr, Ste B, Baton Rouge, LA 70808-4374 | 2006-07-11 |
| 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.