MATTHEW MACK ABRAHAM, LLC (NPI# 1548314495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548314495 |
Entity Type | Organization |
Organization Name | MATTHEW MACK ABRAHAM, LLC |
Practice Address |
100 Asma Blvd Bldg One, Ste 205 Lafayette LA 70508-3858 |
Practice Telephone | 3372895605 |
Practice Fax Number | 3372895609 |
Mailing Telephone | 3372895605 |
Mailing Fax Number | 3372895609 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MATTHEW MACK ABRAHAM (OWNER) |
Authorized Official Telephone | 3372895605 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
MD024082 | LA | Allopathic & Osteopathic Physicians |
Street Address |
100 ASMA BLVD BLDG ONE, STE 205 |
City | LAFAYETTE |
State | LA |
Zip Code | 70508-3858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659372134 | Julia Kathleen Bull | Nurse Practitioner | 100 Asma Blvd, Bldg 1, Suite 205, Lafayette, LA 70508-3858 | 2005-08-09 |
1790339240 | Devin Dorian Parker | Case Manager/Care Coordinator | 100 Asma Blvd, Ste. 200, Lafayette, LA 70508-3868 | 2019-08-01 |
1629512389 | Laura Broussard | Counselor | 100 Asma Blvd, Lafayette, LA 70508 | 2016-12-14 |
1013381615 | Valerie Simon | Case Manager/Care Coordinator | 100 Asma Blvd, Lafayette, LA 70508 | 2015-11-19 |
1326325127 | Geriatric Psychological Services of Louisiana Apc | Psychologist | 100 Asma Blvd, Suite 237e, Lafayette, LA 70508-3858 | 2011-11-08 |
1487890448 | David Paul Wyman | Counselor | 100 Asma Blvd, Lafayette, LA 70508-3858 | 2008-12-22 |
1174511794 | Matthew Mack Abraham | Family Medicine | 100 Asma Blvd, Suite 205, Lafayette, LA 70508-3858 | 2005-10-07 |
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 | 207RS0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sleep Medicine |
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376176768 | Carolyn Benoit | Internal Medicine | 410 Holt Ave, Rayne, LA 70578-4546 | 2020-02-13 |
1902206675 | Biopotentials, L.L.C. | Internal Medicine | 3436 Magazine St # 8024, Suite A, New Orleans, LA 70115-2413 | 2014-08-29 |
1003084054 | Gerald L. Foret, Jr., Md, L.L.C. | Internal Medicine | 1804 Macarthur Dr, Suite 400, Alexandria, LA 71301-3758 | 2008-02-12 |
1609060052 | Optimum Sleep, LLC | Internal Medicine | 2718 Cadiz St, New Orleans, LA 70115-6930 | 2007-08-29 |
1740323823 | Janardana P. Kaimal, Md, LLC | Internal Medicine | 4820 Lake St, Lake Charles, LA 70605-6010 | 2007-02-15 |
1689739559 | J. Darvin Hales, Do, Fccp, Apmc | Internal Medicine | 2309 East Main Street, Suite 202, New Iberia, LA 70560-0000 | 2006-12-22 |
1144279134 | Northlake Pulmonary Associates Inc. | Internal Medicine | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 | 2006-05-08 |
1265492714 | Gerald L Foret Jr. | Internal Medicine | 433 Plaza St, Bogalusa, LA 70427-3729 | 2006-03-27 |
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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.