BYRON J GUIDRY (NPI# 1679662142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679662142 |
| Entity Type | Individual |
| Full Name | BYRON J GUIDRY |
| Credential | PA |
| Practice Address |
1990 Industrial Blvd Houma LA 70363-7055 |
| Practice Telephone | 9858689300 |
| Practice Fax Number | 9858510053 |
| Mailing Telephone | 9858689300 |
| Mailing Fax Number | 9858510053 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | PA04446 | TX | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200159 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.200159 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1038351 | 05 |
| Street Address |
1990 INDUSTRIAL BLVD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183401 | Shaminder Mohan Gupta | Internal Medicine | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2005-06-09 |
| 1528620564 | Paige M Robichaux | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2019-06-30 |
| 1871079822 | Amanda Graham Lucas | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2018-07-12 |
| 1104312560 | Nina Claire Broussard | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2018-07-09 |
| 1972024099 | Britney Haydel | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2017-06-28 |
| 1881145258 | Corey Dupre | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-10-20 |
| 1609228477 | Matthew Phillip James | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-07-05 |
| 1801240726 | Stephen Kyle Jones | Anesthesiology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-04-17 |
| 1164889382 | Brandi Lecompte | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-01-19 |
| 1952778623 | Amber Wooldridge Sevin | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2015-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073610044 | Bradley Paul Chauvin | Physician Assistant | 1340 Grand Caillou Rd, Houma, LA 70363-5558 | 2006-09-20 |
| 1073626719 | Keith Michael Poche | Physician Assistant | 1750 Martin Luther King Blvd., Suite 107, Houma, LA 70360 | 2006-08-16 |
| 1649277047 | Monique B Blanchard | Physician Assistant | 327 Bayou Gardens Blvd., Houma, LA 70360 | 2005-06-30 |
| 1407237803 | Heidi Williams | Physician Assistant | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2015-06-11 |
| 1538559927 | Derick Petrie | Physician Assistant | 928 School St, Houma, LA 70360-4628 | 2015-01-23 |
| 1982855870 | Nathalie Boffy Jukes | Physician Assistant | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2008-10-09 |
| 1184721169 | Paul J Cummins | Physician Assistant | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-09-20 |
| 1992802987 | Christopher Powell | Physician Assistant | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-09-20 |
| 1285731455 | Michael Berthiaume | Physician Assistant | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-09-20 |
| 1104867258 | Kevin Mark Ricks | Physician Assistant | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-06-09 |
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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.