DR. SCOTT MITCHELL BEAIRSTO (NPI# 1821056128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821056128 |
| Entity Type | Individual |
| Full Name | DR. SCOTT MITCHELL BEAIRSTO |
| Credential | D.P.M. |
| Practice Address |
205 Bonaire Dr Lafayette LA 70506-6827 |
| Practice Telephone | 5048890347 |
| Practice Fax Number | 5047799741 |
| Mailing Telephone | 3373379089 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PD319R | LA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1715441 | 05 | |
| LA | RRMCARE PIN # | P00336354 | 01 |
| Street Address |
205 BONAIRE DR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-6827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205032448 | Lafayette Podiatry Center, LLC | Podiatrist | 205 Bonaire Dr, Lafayette, LA 70506-6827 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812455 | Maraist Foot and Ankle Center LLC | Podiatrist | 155 Hospital Dr Ste 203, Lafayette, LA 70503-2852 | 2017-10-24 |
| 1013357714 | Katherine Cummins | Podiatrist | 1345 Unity Pl Ste 225, Lafayette, IN 47905-5762 | 2013-06-27 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1174601264 | Michael W. Colburn | Podiatrist | 911 Moraga Rd Ste 101, Lafayette, CA 94549-4591 | 2006-11-02 |
| 1326130121 | Verne Lawrence Thibodeaux | Podiatrist | 1602 W Pinhook, Suite 100, Lafayette, LA 70508 | 2006-09-29 |
| 1700992187 | Ben A Vierra | Podiatrist | 601 West St Mary Blvd, Ste 106, Lafayette, LA 70506 | 2006-08-21 |
| 1972571297 | Nicholas P Costidakis | Podiatrist | 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909-9192 | 2006-03-11 |
| 1659378453 | George A Sobiesk | Podiatrist | 4809 Ambassador Caffery Pkwy, Suite 200, Lafayette, LA 70508-6917 | 2005-07-07 |
| 1790963197 | Unity Healthcare, LLC | Podiatrist | 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909-9192 | 2008-02-07 |
| 1578748554 | Unity Healthcare, LLC | Podiatrist | 2020 Union St, Suite 100, Lafayette, IN 47904-3432 | 2008-01-08 |
| 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.