PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES DAUTERIVE LLC (NPI# 1396911558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396911558 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES DAUTERIVE LLC |
| Other Organization Name | LEGACY MEDICAL GROUP |
| Practice Address |
1100 Andre St Suite 101 New Iberia LA 70563-2159 |
| Mailing Address |
Po Box 11539 New Iberia LA 70562-1539 |
| Practice Telephone | 3373699309 |
| Practice Fax Number | 3373658455 |
| Mailing Telephone | 3373693481 |
| Mailing Fax Number | 3373658455 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2014-05-23 |
| Authorized Official Name | WAYNE D THOMPSON (CFO) |
| Authorized Official Telephone | 9856247401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1321583 | 05 |
| Other Name | Type Code |
|---|---|
| Legacy Medical Group | Doing Business As Name - Organization |
| Street Address |
1100 ANDRE ST SUITE 101 |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717555 | Christa Hardy Swiger | Nurse Anesthetist, Certified Registered | 1100 Andre St, Suite 300, New Iberia, LA 70563-2159 | 2005-08-15 |
| 1790100980 | Christopher Michael Feldman | Dentist | 1100 Andre St, Suite 205, New Iberia, LA 70563-2159 | 2014-02-24 |
| 1710289970 | Andrew F. Clarke, LLC | Internal Medicine | 1100 Andre St, Suite 204, New Iberia, LA 70563-2159 | 2010-11-22 |
| 1003069105 | Robert S. Lewis, Md, LLC | Internal Medicine | 1100 Andre St, Suite 201, New Iberia, LA 70563-2159 | 2008-11-03 |
| 1356537427 | Jonathan Stein, Md, Apmc | Internal Medicine | 1100 Andre St, Suite 205, New Iberia, LA 70563-2159 | 2007-09-21 |
| 1427191790 | Edward J Wren IIi | Anesthesiology | 1100 Andre St, Suite 300, New Iberia, LA 70563-2159 | 2007-02-15 |
| 1659444701 | Gillian Redlich | Pathology | 1100 Andre St, Suite 100, New Iberia, LA 70563-2159 | 2006-11-16 |
| 1841363108 | Monty Joseph Rizzo | Otolaryngology | 1100 Andre St, Ste 100, New Iberia, LA 70563-2159 | 2006-11-16 |
| 1740353887 | Lisa D. Altmann | Pathology | 1100 Andre St, Suite 100, New Iberia, LA 70563-2159 | 2006-11-16 |
| 1922178599 | Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | 1100 Andre St, Suite 300, New Iberia, LA 70563-2159 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| Find all providers in zip 70563 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134621592 | Black-smith Trio | Family Medicine | 3915 Darnall Rd, New Iberia, LA 70560-0459 | 2018-03-01 |
| 1629404454 | Jacob R Lahasky | Family Medicine | 905 Loreauville Rd, New Iberia, LA 70563-2025 | 2013-09-25 |
| 1104089135 | Fremin Medical LLC | Family Medicine | 1115 Center Street, New Iberia, LA 70560 | 2008-07-09 |
| 1518031319 | Angela Langlimais Md Apmc | Family Medicine | 2309 E Main St Ste 201, New Iberia, LA 70562-0708 | 2006-11-20 |
| 1649291238 | Stephen Anthony Boudreaux | Family Medicine | 520 N Lewis St Ste 203, New Iberia, LA 70563-2094 | 2006-07-21 |
| 1326078577 | Patrick Shawn Baquet | Family Medicine | 1100 Andre St Ste 205, New Iberia, LA 70563-2159 | 2006-07-04 |
| 1093772402 | George Douglas Sagrera Sr. | Family Medicine | 602 W Saint Peter St, New Iberia, LA 70560-3633 | 2006-04-28 |
| 1902879299 | Gerald James Elias Jr. | Family Medicine | 803 Center St, New Iberia, LA 70560-5505 | 2006-02-08 |
| 1396724050 | Jesus Rene Garcia | Family Medicine | 613 Rue De Onetta, New Iberia, LA 70563-2164 | 2006-01-11 |
| 1174515332 | Ellen Shea Mullen | Family Medicine | 2312 E Main St, Suite B, New Iberia, LA 70560-4064 | 2005-08-15 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
Please comment or provide details below to improve the information on PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES DAUTERIVE LLC.
| 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.