DR. PERRI PRELLOP (NPI# 1508808981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508808981 |
| Entity Type | Individual |
| Full Name | DR. PERRI PRELLOP |
| Credential | M.D. |
| Practice Address |
4809 Ambassador Caffery Pkwy Suite 100 Lafayette LA 70508-8800 |
| Practice Telephone | 3377698660 |
| Practice Fax Number | 3377698661 |
| Mailing Telephone | 3377698660 |
| Mailing Fax Number | 3377698661 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
200736 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOUISIANA MEDICAL LICENSE | 200736 | 01 |
| LA | ONCOLOGICS LLC GROUP MEDICARE PTAN EFFECTIVE 05/19/2012 | 5DX68 | 01 |
| LA | PERRI PRELLOP MEDICARE PTAN EFFECTIVE 05/19/2012 | 4K170DX68 | 01 |
| LA | MEDICARE GROUP MEMBER PTAN FOR ACADIANA RADIATION THERAPY, LLC | 329548ZLAC | 01 |
| LA | 1043257 | 05 |
| Street Address |
4809 AMBASSADOR CAFFERY PKWY SUITE 100 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378453 | George A Sobiesk | Podiatrist | 4809 Ambassador Caffery Pkwy, Suite 200, Lafayette, LA 70508-6917 | 2005-07-07 |
| 1891226056 | Our Lady of Lourdes Regional Medical Center, Inc. | Non-Pharmacy Dispensing Site | 4809 Ambassador Caffery Pkwy, Suite 110, Lafayette, LA 70508-8800 | 2017-03-21 |
| 1659820777 | Radiation Oncology Associates of Acadiana, LLP | Radiology | 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508-8800 | 2016-09-30 |
| 1114471612 | Physical Therapy Clinic of Lafayette, LLC | Physical Therapist | 4809 Ambassador Caffery Pkwy, Lafayette, LA 70508-8800 | 2016-08-12 |
| 1154703627 | Melanie Mier Md A Professional Medical Corporation | Internal Medicine | 4809 Ambassador Caffery Pkwy, Suite 410, Lafayette, LA 70508-8802 | 2015-06-22 |
| 1992183305 | Victoria English | Physician Assistant | 4809 Ambassador Caffery Pkwy, Suite 110, Lafayette, LA 70508-8800 | 2015-05-18 |
| 1386031235 | Carmichael's Cashway Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4809 Ambassador Caffery Pkwy, Suite 220, Lafayette, LA 70508-8800 | 2015-04-17 |
| 1740671619 | Prevail Heart Clinic of Lafayette, LLC | Internal Medicine | 4809 Ambassador Caffery Pkwy, Suite 480, Lafayette, LA 70508-8802 | 2015-02-12 |
| 1568863306 | Britni Hebert, M.d., Apmc | Specialist | 4809 Ambassador Caffery Pkwy, Suite 410, Lafayette, LA 70508-8800 | 2014-09-11 |
| 1821421538 | Abigail Theresa Pelafigue | Nurse Practitioner | 4809 Ambassador Caffery Pkwy, Suite 430, Lafayette, LA 70508-8800 | 2013-08-16 |
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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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487974044 | Lafayette Health Ventures Inc | Radiology | 155 Hospital Dr Ste 102, Lafayette, LA 70503-2852 | 2010-06-07 |
| 1700021961 | Karl Thomas Noell | Radiology | 630 Greenbriar Rd, Lafayette, LA 70503-3408 | 2008-12-02 |
| 1376700591 | James Kyle Russo II | Radiology | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2008-05-16 |
| 1649442013 | Imaging Services of Louisiana LLC | Radiology | 5000 Ambassador Caffery Parkway Bldg 10, Lafayette, LA 70508 | 2008-03-26 |
| 1114940046 | Mary Maitland Deland | Radiology | 1507 Alice Dr, Lafayette, LA 70503-5083 | 2006-07-25 |
| 1144256736 | Oncologics, Inc. | Radiology | 917 General Mouton Ave, Lafayette, LA 70501-8511 | 2006-06-24 |
| 1134189566 | Bahman Abraham Daneshfar | Radiology | 302 Arabella Blvd, Lafayette, LA 70508-6054 | 2006-03-28 |
| 1942278361 | Centennial Radiation Oncology, P.C. | Radiology | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2006-03-10 |
| 1316947245 | Mary Margaret Rhees | Radiology | 1425 Unity Pl, Lafayette, IN 47905-5756 | 2005-07-21 |
| 1659820777 | Radiation Oncology Associates of Acadiana, LLP | Radiology | 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508-8800 | 2016-09-30 |
| Find all providers in LAFAYETTE | ||||
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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.