LOUISIANA URGENT CARE OF OPELOUSAS, LLC (NPI# 1598701583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598701583 |
| Entity Type | Organization |
| Organization Name | LOUISIANA URGENT CARE OF OPELOUSAS, LLC |
| Practice Address |
5620 I-49 N. Service Rd #11 Opelousas LA 70570-0722 |
| Practice Telephone | 3379486331 |
| Practice Fax Number | 3379429998 |
| Mailing Telephone | 3379486331 |
| Mailing Fax Number | 3379429998 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-02-16 |
| Authorized Official Name | PATRICK D. MOORE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3379486331 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207Q00000X | Family Medicine | MD024344 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1027090 | 05 |
| Street Address |
5620 I-49 N. SERVICE RD #11 |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-0722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| 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 |
|---|---|---|---|---|
| 1376740324 | Kevin N Guillory | Family Medicine | 3921 S. I-49 Service Rd., Opelousas, LA 70570 | 2007-07-02 |
| 1700097268 | Rodney Jason Hatfield | Family Medicine | 827 North Union Street, Opelousas, LA 70570 | 2007-05-25 |
| 1942384870 | Derek J Metoyer | Family Medicine | 204 W North St, Opelousas, LA 70570-5244 | 2006-10-25 |
| 1326056037 | Natalie Cecilia Phillips | Family Medicine | 3983 I-49 South Service Road, Opelousas General Hospital South Campus, Opelousas, LA 70571 | 2006-08-04 |
| 1124089024 | Richard Wayne Harmon | Family Medicine | 827 N Union St, Opelousas, LA 70570 | 2006-03-30 |
| 1588625487 | Michael Louis Burnell | Family Medicine | 138 Lazaro Blvd Suite A, Opelousas, LA 70570 | 2006-03-30 |
| 1013986892 | Stacey Wayne Mayeaux | Family Medicine | 519 E Prudhomme St, Opelousas, LA 70570-6499 | 2006-03-15 |
| 1770552556 | Laura Richard Braham | Family Medicine | 3921 I 49 S Service Rd, Opelousas, LA 70570-0758 | 2006-03-15 |
| 1699774075 | Calvin White | Family Medicine | 1119 Prudhomme Cir, Opelousas, LA 70570-6516 | 2005-07-19 |
| 1205832235 | Luris Sanchez | Family Medicine | 828 Creswell Ln, Opelousas, LA 70570-5882 | 2005-06-23 |
| Find all providers in OPELOUSAS | ||||
Please comment or provide details below to improve the information on LOUISIANA URGENT CARE OF OPELOUSAS, 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.