DEREK SCOTT FOREMAN (NPI# 1710272919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710272919 |
| Entity Type | Individual |
| Full Name | DEREK SCOTT FOREMAN |
| Credential | PA-C |
| Practice Address |
200 La Rue France Lafayette LA 70508-3104 |
| Practice Telephone | 3372649787 |
| Practice Fax Number | 3372649506 |
| Mailing Telephone | 3372649787 |
| Mailing Fax Number | 3372649506 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.200451 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700936101 | Derek Roland Foreman | Chiropractor | 2080 E. Calvada Blvd.#100, Pahrump, NV 89048-5844 | 2007-01-10 |
| Street Address |
200 LA RUE FRANCE |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770530339 | Ghyass Rizk Md,endocrine Clinic of Louisiana, Apmc | Nurse Practitioner | 200 La Rue France, Lafayette, LA 70508-3104 | 2006-05-28 |
| 1134668569 | Gregory Hebert Lcsw | Community/Behavioral Health | 200 La Rue France, Lafayette, LA 70508-3104 | 2017-02-17 |
| 1619413259 | Gregory Hebert | Social Worker | 200 La Rue France, Lafayette, LA 70508-3104 | 2017-01-06 |
| 1003276064 | Mandy Gayle Keown | Nurse Practitioner | 200 La Rue France, 201, Lafayette, LA 70508-3104 | 2016-03-02 |
| 1326362716 | Care Coordination Center | Case Management | 200 La Rue France, Suite 201, Lafayette, LA 70508-3104 | 2010-03-15 |
| 1508912833 | Elie Ibrahim Salameh | Nurse Practitioner | 200 La Rue France, Ste 201, Lafayette, LA 70508-3104 | 2007-01-27 |
| 1457392557 | Paul H Nicoletti | Nurse Practitioner | 200 La Rue France, Lafayette, LA 70508-3104 | 2006-06-09 |
| 1144267360 | Ghyass Rizk | Internal Medicine | 200 La Rue France, Lafayette, LA 70508-3104 | 2006-05-31 |
| 1265432504 | Nina Bertrand Ravey | Nurse Practitioner | 200 La Rue France, Suite 201, Lafayette, LA 70508-3104 | 2005-07-28 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1326669334 | Rachel Fulmer Trepagnier | Physician Assistant | 111 La Rue Vil, Lafayette, LA 70508-6829 | 2020-04-30 |
| 1093299661 | Jacqueline Grainger Davidson | Physician Assistant | 2540 Westward Dr, Lafayette, CO 80026-9176 | 2018-09-19 |
| 1003394891 | Stefanie Marie Hummel | Physician Assistant | 105 Patriot St Ste 101, Lafayette, LA 70508-6831 | 2018-08-02 |
| 1477067239 | Madison Elizabeth Amos | Physician Assistant | 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 | 2017-11-30 |
| 1639682164 | Callie Phillips | Physician Assistant | 3441 Golden Gate Way Apt D, Lafayette, CA 94549-4533 | 2017-11-06 |
| 1629591383 | Matthew Jacob Stephen | Physician Assistant | 12 Shreve Ln, Lafayette, CA 94549-4066 | 2017-07-24 |
| 1881114486 | Ani Akopyan | Physician Assistant | 3535 Brook St Apt 22, Lafayette, CA 94549-4336 | 2017-06-23 |
| 1851829360 | Daniel Manilla | Physician Assistant | 380 Empire Rd Ste 200, Lafayette, CO 80026-2677 | 2017-05-28 |
| 1962942839 | Marcus Ryan Davidson | Physician Assistant | 605 Silverstone Rd Ste 100, Lafayette, LA 70508 | 2017-02-27 |
| 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.