DR. KENNETH J. CHAMPAGNE (NPI# 1740284454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740284454 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J. CHAMPAGNE |
| Credential | M.D. |
| Practice Address |
102 Drury Ln Lafayette LA 70508-5702 |
| Practice Telephone | 3372330219 |
| Practice Fax Number | 3372332418 |
| Mailing Telephone | 3372330219 |
| Mailing Fax Number | 3372332418 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MD.017238 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1396681 | 05 | |
| LA | RAILROAD MEDICARE | 280000189 | 01 |
| Street Address |
102 DRURY LN |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784523 | Bradley P Champagne, Md, LLC | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2017-08-01 |
| 1578858288 | Bradley Paul Champagne | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2011-06-10 |
| 1245440577 | Matthew B Boudreaux | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2007-05-23 |
| 1912967316 | Kenneth J. Champagne, M.d., Apmc | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2006-03-28 |
| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205124955 | Matthew B. Boudreaux, M.d., L.L.C. | Colon & Rectal Surgery | 1103 W University Ave, Lafayette, LA 70506-3462 | 2011-07-15 |
| 1548784523 | Bradley P Champagne, Md, LLC | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2017-08-01 |
| 1932655073 | Surgone, PC | Colon & Rectal Surgery | 150 Old Laramie Trl E, Suite 130, Lafayette, CO 80026-7018 | 2016-08-29 |
| 1093070476 | Michael F Horaist, M.d. LLC | Colon & Rectal Surgery | 1103 W University Ave, Lafayette, LA 70506-3462 | 2012-07-11 |
| 1578858288 | Bradley Paul Champagne | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2011-06-10 |
| 1922218239 | Michael F Horaist | Colon & Rectal Surgery | 200 Beaullieu Dr, Bldg 3b, Lafayette, LA 70508-7230 | 2007-05-23 |
| 1245440577 | Matthew B Boudreaux | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2007-05-23 |
| 1912967316 | Kenneth J. Champagne, M.d., Apmc | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640291 | Bryan Cross | Colon & Rectal Surgery | 2495 Shreveport Hwy (va Medical Center), Mail Code 112, Pineville, LA 71360 | 2014-04-29 |
| 1962792291 | Matthew David Zelhart | Colon & Rectal Surgery | 3100 Galleria Dr Ste 303, Metairie, LA 70001-2196 | 2011-04-07 |
| 1487970778 | Chad E Lewis Md A Professional Medical Corporation | Colon & Rectal Surgery | 812 Broadway St., Minden, LA 71055-3330 | 2010-04-13 |
| 1003859141 | Andrew M Werner | Colon & Rectal Surgery | 1811 E Bert Kouns Ste 430, Shreveport, LA 71105 | 2006-06-14 |
| 1881659761 | Jeffrey F Griffin | Colon & Rectal Surgery | 3100 Galleria Dr, Ste 303, Metairie, LA 70001-2196 | 2006-04-20 |
| 1598185118 | Elyse Bevier-rawls | Colon & Rectal Surgery | 1542 Tulane Ave Rm 734, New Orleans, LA 70112-2865 | 2014-04-22 |
| 1609175348 | Nathan Hite | Colon & Rectal Surgery | 7777 Hennessy Blvd Ste 206, Baton Rouge, LA 70808-4363 | 2011-03-21 |
| 1396063244 | Joseph Marrazzo, IIi, Md, Apmc | Colon & Rectal Surgery | 501 Medical Center Dr, Suite 410, Alexandria, LA 71301-8124 | 2010-05-16 |
| 1598908253 | William Forrest Johnston | Colon & Rectal Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2009-04-10 |
| 1922254002 | Joann E Warrick | Colon & Rectal Surgery | 3217 Mabel St, Shreveport, LA 71103 | 2008-08-08 |
| Find all providers with the same taxonomy | ||||
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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.