THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI# 1396175857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396175857 |
| Entity Type | Organization |
| Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Other Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION-PAIN MANAGEMENT |
| Practice Address |
726 N Acadia Rd Ste 2400 Thibodaux LA 70301-4847 |
| Mailing Address |
Po Box 5478 Thibodaux LA 70302-5478 |
| Practice Telephone | 9854934090 |
| Practice Fax Number | 9854934081 |
| Mailing Telephone | 9854934004 |
| Mailing Fax Number | 9854934007 |
| Enumeration Date | 2013-11-20 |
| 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 | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2395131 | 05 |
| Other Name | Type Code |
|---|---|
| Thibodaux Regional Network Development Corporation-Pain Management | 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 |
| 1215355128 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301-4847 | 2014-03-29 |
| 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 2400 |
| 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 |
| 1215355128 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301-4847 | 2014-03-29 |
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025001 | Brain & Pain Care, LLC | Pain Medicine | 725 N Ashley Ridge Loop Ste 100, Shreveport, LA 71106-7233 | 2019-10-18 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1831660596 | Injury Treatment Center of Louisiana, LLC | Pain Medicine | 15814 Professional Plz, Hammond, LA 70403-1453 | 2018-12-06 |
| 1538673694 | Advanced Pain Management, LLC | Pain Medicine | 6536 Lasalle Ave, Baton Rouge, LA 70806-7318 | 2017-11-28 |
| 1619417607 | Segura Wellness, LLC | Pain Medicine | 7039 Highway 190 East Service Rd, Suite C, Covington, LA 70433-4961 | 2017-02-24 |
| 1821431024 | Felman Institute for Wellness and Longevity | Pain Medicine | 455 East Airport Road, Baton Rouge, LA 70806 | 2013-04-08 |
| 1528203957 | Neuroscience & Pain Institute LLC | Pain Medicine | 50 Louis Prima Dr, Suite A, Covington, LA 70433 | 2008-12-15 |
| 1740495829 | Firas Hijazi Md Apmc | Pain Medicine | 2149 Augusta Dr, La Place, LA 70068-1711 | 2007-05-11 |
| 1760598726 | Melanie C. Firmin, Md Apmc | Pain Medicine | 1587 N Bolton Ave Ste 1200, Alexandria, LA 71303 | 2006-08-22 |
| 1700800828 | Kevin R Martinez | Pain Medicine | 4228 Houma Blvd Ste 510, Suite 510, Metairie, LA 70006-3015 | 2006-07-26 |
| 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.