THAD A . BOURQUE, M.D. APMC (NPI# 1598846891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598846891 |
| Entity Type | Organization |
| Organization Name | THAD A . BOURQUE, M.D. APMC |
| Practice Address |
913 S College Rd Suite 209 Lafayette LA 70503-3060 |
| Practice Telephone | 3372345554 |
| Mailing Telephone | 3372345554 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | THAD ALEXANDER BOURQUE (OWNER) |
| Authorized Official Telephone | 3372345554 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 021311 | LA | Other Service Providers |
| Street Address |
913 S COLLEGE RD SUITE 209 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667364 | William M Bailey | Internal Medicine | 913 S College Rd, Suite 103, Lafayette, LA 70503-3060 | 2005-05-24 |
| 1922514363 | Alphonse Noel | Counselor | 913 S College Rd, Lafayette, LA 70503-3060 | 2017-12-21 |
| 1730537317 | Joan Jurisich | Counselor | 913 S College Rd, Lafayette, LA 70503-3060 | 2016-05-24 |
| 1457719551 | Jamie Bouie-eddie | Case Manager/Care Coordinator | 913 S College Rd, 913 South College Rd, Lafayette, LA 70503 | 2016-02-03 |
| 1356708986 | Alonzo Powell | Counselor | 913 S College Rd, Lafayette, LA 70503-3060 | 2016-01-27 |
| 1831556554 | Brandon Roshawn Spriggs | Counselor | 913 S College Rd, Lafayette, LA 70503-3060 | 2016-01-26 |
| 1376900456 | Ethel Brown | Counselor | 913 S College Rd, Ste.105, Lafayette, LA 70503-3060 | 2016-01-20 |
| 1285090399 | Peter Phillip Ford Jr. | Counselor | 913 S College Rd, 105, Lafayette, LA 70503-3060 | 2016-01-05 |
| 1295190270 | Christine Carmouche | Case Manager/Care Coordinator | 913 S College Rd, Lafayette, LA 70503 | 2015-12-17 |
| 1730554213 | Wanda Zachary | Counselor | 913 S College Rd, Suite 105, Lafayette, LA 70570 | 2015-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1659828606 | Larissa Geleris | Specialist | 3400 Mt Diablo Blvd, Suite 200, Lafayette, CA 94549-3956 | 2016-09-07 |
| 1255781381 | Vernon Valentino Md Apmc | Specialist | 5000 Amb Caffery Pkwy Ste 100, Lafayette, LA 70508-6984 | 2016-06-20 |
| 1770933228 | Allison O'grady | Specialist | 995 S Creasy Ln, Lafayette, IN 47905-4800 | 2016-06-15 |
| 1568816064 | Cecile Marie Picou | Specialist | 114 Greenhaven Dr, Lafayette, LA 70508-6545 | 2016-04-20 |
| 1922438522 | Indiana Wellness, LLC | Specialist | 1221 S Creasy Ln Ste K3, Lafayette, IN 47905-7430 | 2013-11-18 |
| 1073947701 | Onsite Healthcare Solutions, LLC | Specialist | 208 River Oak Cir, Lafayette, LA 70508-6742 | 2013-08-29 |
| 1083964167 | Sheila Kitson Stosick | Specialist | 3253 Judy Ln, Lafayette, CA 94549-4707 | 2012-09-14 |
| 1598030181 | Neuro Diagnostic Monitoring, LLC | Specialist | 106 Amaryllis Dr, Lafayette, LA 70503-3215 | 2012-03-14 |
| 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.