PATRICK C HAGEN EAR, NOSE, THROAT & SINUS CLINIC (NPI# 1871630236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871630236 |
| Entity Type | Organization |
| Organization Name | PATRICK C HAGEN EAR, NOSE, THROAT & SINUS CLINIC |
| Practice Address |
2000 Audubon Ave Suite C Thibodaux LA 70301-5075 |
| Mailing Address |
Po Box 146 Thibodaux LA 70302-0146 |
| Practice Telephone | 9854461200 |
| Mailing Telephone | 8006392519 |
| Mailing Fax Number | 9854478556 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | CELESTE PONVELLE (ADMINISTRATOR) |
| Authorized Official Telephone | 8006392519 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
2000 AUDUBON AVE SUITE C |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319669 | Patrick C Hagen | Otolaryngology | 2000 Audubon Ave, Suite C, Thibodaux, LA 70301-5074 | 2006-03-11 |
| 1194083220 | Foot Clinic of Louisiana Inc | Clinic/Center | 2000 Audubon Ave, Suite C-1, Thibodaux, LA 70301-5075 | 2012-04-26 |
| 1891922365 | Sleep Solutions of Thibodaux | Durable Medical Equipment & Medical Supplies | 2000 Audubon Ave, Suite C, Thibodaux, LA 70301-5075 | 2009-06-11 |
| 1992931455 | Sleep Solutions of Thibodaux, LLC | Clinic/Center | 2000 Audubon Ave, Suite C, Thibodaux, LA 70301-5075 | 2009-06-10 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386743326 | Paul T. Gaudet | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2006-09-22 |
| 1083713101 | Southern Ent Associates Inc | Otolaryngology | 604 N Acadia Rd Ste 101, Thibodaux, LA 70301-4847 | 2006-09-22 |
| 1760581706 | James V Broussard | Otolaryngology | 604 N. Acadia Rd Ste 101, Thibodaux, LA 70301-4897 | 2006-09-22 |
| 1356319669 | Patrick C Hagen | Otolaryngology | 2000 Audubon Ave, Suite C, Thibodaux, LA 70301-5074 | 2006-03-11 |
| 1396261491 | Mary Elizabeth Crigler | Otolaryngology | 604 N Acadia Rd Ste 101, Thibodaux, LA 70301-4897 | 2017-08-21 |
| 1700131950 | Nicholas Charles Sorrel | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2012-07-13 |
| 1750573994 | Jacques Ernest Gaudet | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2007-08-13 |
| 1245448224 | Justin Michael Tenney | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2007-05-21 |
| 1689773632 | Michael R Robichaux Sr. | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4897 | 2006-09-22 |
| 1255430211 | Guy P Zeringue IIi | Otolaryngology | 604 N. Acadia Ste 101, Thibodaux, LA 70301-4847 | 2006-09-22 |
| Find all providers in THIBODAUX | ||||
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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.