SOUTHPARK COMMUNITY HOSPITAL


Address: 314 Youngsville Hwy, Lafayette, LA 70508-4524
Phone: 3377694080

SOUTHPARK COMMUNITY HOSPITAL (NPI# 1275513798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275513798
Entity Type Organization
Organization Name SOUTHPARK COMMUNITY HOSPITAL
Practice Address 314 Youngsville Hwy
Lafayette
LA 70508-4524
Practice Telephone 3377694080
Mailing Telephone 3377694080
Enumeration Date 2006-01-19
Last Update Date 2020-08-22
Authorized Official Name LINDA DEVILLE (CEO)
Authorized Official Telephone 3377694080
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians
X 204F00000X Transplant Surgery Allopathic & Osteopathic Physicians
X 207KI0005X Allergy & Immunology
Specialization: Clinical & Laboratory Immunology
Allopathic & Osteopathic Physicians
X 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
X 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
X 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
X 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians
X 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
X 208600000X Surgery Allopathic & Osteopathic Physicians
X 208800000X Urology Allopathic & Osteopathic Physicians
X 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1729388 05
LA BLUE CROSS 61343 01

Office Location

Street Address 314 YOUNGSVILLE HWY
City LAFAYETTE
State LA
Zip Code 70508-4524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013477322 Minute Med - Omc LLC Family Medicine 314 Youngsville Hwy, Lafayette, LA 70508-4524 2019-03-22
1710315478 Total Renal Care Inc Clinic/Center 314 Youngsville Hwy, Suite 125, Lafayette, LA 70508-4524 2013-10-16
1093970915 Southpark Acquisition Company LLC Clinic/Center 314 Youngsville Hwy, Lafayette, LA 70508-4524 2008-07-21
1205015955 Southpark Acquisition Company LLC General Acute Care Hospital 314 Youngsville Hwy, Lafayette, LA 70508-4524 2007-10-30
1013102078 Stephen Kyle Chauvin Nurse Anesthetist, Certified Registered 314 Youngsville Hwy, Lafayette, LA 70508-4524 2007-09-12
1831129592 Curtis L Sanford II Nurse Anesthetist, Certified Registered 314 Youngsville Hwy, Lafayette, LA 70508-4524 2006-07-05
1679518823 Mark J Landry Emergency Medicine 314 Youngsville Hwy, Lafayette, LA 70508-4524 2006-06-19

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629085196 Glenn Eric Herrmann Oral & Maxillofacial Surgery 130 Old Laramie Trl E Bldg 4, Lafayette, CO 80026-7014 2006-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932414851 Michael D. Daigle Dds Apc Oral & Maxillofacial Surgery 100 Melissa Ln, Houma, LA 70360-4058 2010-08-16
1598927196 Ashraf R Heram Oral & Maxillofacial Surgery 1100 Florida Ave # 220, New Orleans, LA 70119-2714 2008-06-26
1194996637 Richard Tipery Akin Oral & Maxillofacial Surgery 614 Connells Park Ln, Baton Rouge, LA 70806-6534 2008-03-12
1114121639 Hugo St Hilaire Oral & Maxillofacial Surgery 2820 Napoleon Ave Ste 810, New Orleans, LA 70115-8235 2007-06-11
1477630515 Richard Tipery Akin Dds Md Apc Oral & Maxillofacial Surgery 614 Connells Park Lane, Baton Rouge, LA 70806 2006-11-01
1033292008 Michael Delano Daigle Oral & Maxillofacial Surgery 100 Melissa Lane, Houma, LA 70360 2006-10-23
1942391362 Frank W Harmon Oral & Maxillofacial Surgery 2120 Bert Kouns, Suite D, Shreveport, LA 71118 2006-09-28
1508877580 Ronald B Marks Oral & Maxillofacial Surgery 1403 Peterman Drive, Alexandria, LA 71301 2006-08-11
1588641096 Alexandria Oral Surgery Associates LLP Oral & Maxillofacial Surgery 1403 Peterman Dr, Alexandria, LA 71301-3433 2005-12-27
1407848443 Ochsner Clinic LLC Oral & Maxillofacial Surgery 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2005-08-16
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Competitor

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City LAFAYETTE
Zip Code 70508

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Dataset Information

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.

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