THIBODAUX ENDOSCOPY LLC (NPI# 1831167329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831167329 |
| Entity Type | Organization |
| Organization Name | THIBODAUX ENDOSCOPY LLC |
| Practice Address |
602 N Acadia Rd Suite 101 Thibodaux LA 70301-4847 |
| Practice Telephone | 9854461958 |
| Practice Fax Number | 9854460121 |
| Mailing Telephone | 9854461958 |
| Mailing Fax Number | 9854460121 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | CHARLES J MONIER JR. (PRESIDENT) |
| Authorized Official Telephone | 9854461958 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0112 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1167452 | 05 |
| Street Address |
602 N ACADIA RD SUITE 101 |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467427336 | Thibodaux Regional Network Development Corporation | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2006-02-22 |
| 1346855715 | Lindsay A Dufresne | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-12 |
| 1598370991 | Jill L Bueche | Nurse Practitioner | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-11 |
| 1972118842 | Adele Elise Broussard | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-08 |
| 1336759737 | Nia Walker | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-07-31 |
| 1639705924 | Gage Duet | Student in an Organized Health Care Education/Training Program | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-03-18 |
| 1992352629 | Jamie Roy-daigle | Clinical Pharmacology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-08-19 |
| 1356995096 | Kaley Marie Duplantis | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-07-31 |
| 1750933438 | Thibodaux Regional Health System Inc | Psychiatric Hospital | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-07-12 |
| 1740840909 | Thibodaux Regional Health System Inc | Psychiatric Hospital | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114435534 | Ensured Transpo Care LLC. | Clinic/Center | 510 Parish Rd, Thibodaux, LA 70301-2244 | 2018-01-19 |
| 1801949631 | Thibodaux Surgery Center, LLC | Clinic/Center | 604 N Acadia Rd, Suite 300, Thibodaux, LA 70301-4847 | 2007-01-18 |
| 1073505616 | Thibodaux Laser and Surgery Center, LLC | Clinic/Center | 1101 Audubon Ave, Suite S4, Thibodaux, LA 70301-4957 | 2005-08-19 |
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| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1770096273 | Southpark Surgery Center, LLC | Clinic/Center | 901 Wilson St Ste A, Lafayette, LA 70503-2439 | 2017-11-07 |
| 1073026639 | Mid City Specialty Center, LLC | Clinic/Center | 3600 Florida Blvd Ste 2000, Baton Rouge, LA 70806-3842 | 2017-11-06 |
| 1376055897 | Northern Louisiana Cardiac Services LLC | Clinic/Center | 1453 E Bert Kouns Industrial Loop Ste 220, Shreveport, LA 71105-6810 | 2017-10-25 |
| 1780041749 | Buisson Rnfa, LLC | Clinic/Center | 3042 Hill Ct, Mandeville, LA 70448-8488 | 2016-01-21 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
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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.