THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI# 1851532964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851532964 |
| Entity Type | Organization |
| Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Other Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION - CARDIOVASCULAR |
| Practice Address |
604 N Acadia Rd Suite 409 Thibodaux LA 70301-4897 |
| Mailing Address |
Po Box 5478 Thibodaux LA 70302-5478 |
| Practice Telephone | 9854475500 |
| Mailing Telephone | 9854475500 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | BONNIE LOKER (DIRECTOR) |
| Authorized Official Telephone | 9854475500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1800856 | 05 |
| Other Name | Type Code |
|---|---|
| Thibodaux Regional Network Development Corporation - Cardiovascular | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836166 | Thibodaux Regional Network Development Corporation | Podiatrist | 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | 2020-06-24 |
| 1003430257 | Thibodaux Regional Network Development Corporation | Surgery | 604 N Acadia Rd Ste 410, Thibodaux, LA 70301-4897 | 2020-06-03 |
| 1396162269 | Thibodaux Regional Network Development Corporation | Family Medicine | 114 Hwy 403, Paincourtville, LA 70391-0300 | 2014-03-27 |
| 1184963613 | Thibodaux Regional Network Development Corporation | Obstetrics & Gynecology | 604 N Acadia Rd Ste 500, Thibodaux, LA 70301-4743 | 2013-02-04 |
| 1467427336 | Thibodaux Regional Network Development Corporation | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2006-02-22 |
| 1043834260 | Thibodaux Regional Network Development Corporation | Urology | 504 N Acadia Rd, Thibodaux, LA 70301-4862 | 2020-06-03 |
| 1437664646 | Thibodaux Regional Network Development Corporation | Pathology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2017-12-11 |
| 1447701412 | Thibodaux Regional Network Development Corporation | Internal Medicine | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2016-10-14 |
| 1114339181 | Thibodaux Regional Network Development Corporation | Psychiatry & Neurology | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4897 | 2014-05-27 |
| 1215355128 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301-4847 | 2014-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION - RHEUMATOLOGY | 1105 Audubon Ave Ste B, Thibodaux, LA 70301-4940 |
| Street Address |
604 N ACADIA RD SUITE 409 |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668826 | Kenneth James Cruse | Pediatrics | 604 N Acadia Rd, Suite 200, Thibodaux, LA 70301-4897 | 2005-06-01 |
| 1336686088 | Amy Brannon Anderson | Social Worker | 604 N Acadia Rd, Suite 201, Thibodaux, LA 70301-4897 | 2017-01-19 |
| 1114339181 | Thibodaux Regional Network Development Corporation | Psychiatry & Neurology | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4897 | 2014-05-27 |
| 1891118576 | Dean Francis Click Jr. | Specialist/Technologist, Other | 604 N Acadia Rd, Ste 508, Thibodaux, LA 70301-4897 | 2014-01-30 |
| 1801136023 | Thibodaux Regional Network Development Corporation | Internal Medicine | 604 N Acadia Rd, Suite 411, Thibodaux, LA 70301-4897 | 2013-02-25 |
| 1164770418 | April D Sorrel | Pediatrics | 604 N Acadia Rd, Suite 200, Thibodaux, LA 70301-4897 | 2012-08-16 |
| 1215214366 | Cowen Clinic for Rehabilitation Medicine, Apmc | Specialist | 604 N Acadia Rd, Suite 100, Thibodaux, LA 70301-4897 | 2011-11-03 |
| 1306125133 | Thibodaux Regional Network Development Corporation | Internal Medicine | 604 N Acadia Rd, Ste 410, Thibodaux, LA 70301-4897 | 2011-08-10 |
| 1366754160 | Kim R Thompson | Social Worker | 604 N Acadia Rd, Suite 201, Thibodaux, LA 70301-4897 | 2010-07-08 |
| 1679896732 | Bariatric & Advanced Surgical | Surgery | 604 N Acadia Rd, Suite 406, Thibodaux, LA 70301-4897 | 2010-03-03 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862822 | Robert W Greer | Internal Medicine | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 | 2005-06-22 |
| 1164509048 | Alvin Michael Timothy | Internal Medicine | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 | 2006-10-31 |
| 1891754420 | Carolyn S Hebert | Internal Medicine | 1101 Audubon Ave, Thibodaux, LA 70301-4957 | 2006-03-22 |
| 1861490534 | Sandeep Ambalal Patel | Internal Medicine | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 | 2005-07-07 |
| 1659378685 | Bart Ghislain Denys | Internal Medicine | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 | 2005-07-06 |
| 1093712028 | Mohammed Sayeedur Rais | Internal Medicine | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 | 2005-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424583 | Ochsner Clinic LLC | Internal Medicine | 64040 Highway 434 Ste 100, Lacombe, LA 70445-3499 | 2020-07-09 |
| 1336776038 | Louisiana Community Health Center | Internal Medicine | 91 Westbank Expy Ste 440, Gretna, LA 70053-3678 | 2020-03-24 |
| 1902443310 | Affinity Health Gorup, LLC | Internal Medicine | 2516 Broadmoor Blvd Ste 2, Monroe, LA 71201-2988 | 2019-12-04 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1235789595 | Cardiovascular Specialty Care Center - Vascular | Internal Medicine | 7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4365 | 2019-09-18 |
| 1184140154 | Cardiovascular Specialty Care Center of Covington, LLC | Internal Medicine | 71070 Highway 21, Covington, LA 70433-7160 | 2017-08-21 |
| 1508388299 | Louisiana State University School of Medicine In New Orleans Faculty G | Internal Medicine | 120 Ochsner Blvd Ste 340, Gretna, LA 70056-5249 | 2017-07-13 |
| 1003348012 | Vascular Advantages of La, LLC | Internal Medicine | 10966 Laird Ln, Denham Springs, LA 70726-7963 | 2017-03-29 |
| 1104281476 | White Clover, LLC | Internal Medicine | 8835 Line Ave Ste 400, Shreveport, LA 71106-6730 | 2015-12-30 |
| 1538543574 | Prevail Heart Clinic of Ville Platte, LLC | Internal Medicine | 504 Jack Miller Rd Ste 8, Ville Platte, LA 70586-5600 | 2015-07-18 |
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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.