PEDIATRIC GROUP OF ACADIANA, LLC (NPI# 1922619238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922619238 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GROUP OF ACADIANA, LLC |
| Practice Address |
818 W. Veterans Memorial Kaplan LA 70548 |
| Mailing Address |
401 Youngsville Hwy Ste 100 Lafayette LA 70508-5173 |
| Practice Telephone | 3372856001 |
| Mailing Telephone | 3372565111 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | ALEC MOYER (BUSINESS MANAGER) |
| Authorized Official Telephone | 3372565111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kaplan Kids Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| 1588138903 | Pediatric Group of Acadiana, LLC | Clinic/Center | 12713 Water Way, Maurepas, LA 70449-1200 | 2019-01-18 |
| 1255941829 | Pediatric Group of Acadiana, LLC | Clinic/Center | 555 Lakes Blvd, Breaux Bridge, LA 70517-3240 | 2020-08-07 |
| 1477027894 | Pediatric Group of Acadiana, LLC | Clinic/Center | 120 N Carolina St, New Roads, LA 70760-3604 | 2019-01-18 |
| 1922283225 | Pediatric Group of Acadiana, LLC | Specialist | 1119 N Main St, Saint Martinville, LA 70582-3513 | 2008-01-04 |
| 1487839783 | Pediatric Group of Acadiana, LLC | Specialist | 520 N Lewis St, Suite 202, New Iberia, LA 70563-2094 | 2008-01-04 |
| 1265499628 | Pediatric Group of Acadiana, LLC | Specialist | 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 | 2006-04-28 |
| Street Address |
818 W. VETERANS MEMORIAL |
| City | KAPLAN |
| State | LA |
| Zip Code | 70548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114178639 | Patrick Dale Leleux Jr Md LLC | Specialist | 202 N. Jackson, Kaplan, LA 70548 | 2008-10-02 |
| 1033255609 | William David Granberry | Dentist | 1600 West Veterans Memorial Drive, Kaplan, LA 70548 | 2007-01-30 |
| 1629028774 | Padmini Gupta | Pediatrics | 801 Montgomery Avenue, Children & Adolescent Clinic, Kaplan, LA 70548 | 2006-05-11 |
| 1528029956 | Carissa Pauline Annette Hamilton-toups | Chiropractor | 319 N Cushing Ave, Kaplan, LA 70548 | 2006-03-28 |
| 1386869485 | Joseph Minus Mouton | Pharmacist | 308 N Cushing Ave, Kaplan, LA 70548 | 2007-04-16 |
| 1295915395 | Prashant Gupta | Surgery | 801 N Montgomery Ave, Kaplan, LA 70548-2007 | 2007-11-06 |
| 1548783400 | Renee Claire Sons | Nurse Practitioner | 801 N Montgomery Ave, Kaplan, LA 70548-2007 | 2017-07-24 |
| 1235397159 | Children & Adolescent Clinic | Clinic/Center | 801 N Montgomery Ave, Kaplan, LA 70548-2007 | 2008-05-28 |
| 1346231156 | Suresh J Patel | Internal Medicine | 804 N Monceaux Ave, Kaplan, LA 70548-2013 | 2005-11-01 |
| 1043214976 | Randall Jude Faulk | Family Medicine | 802 N Monceaux Ave, Kaplan, LA 70548-2013 | 2005-06-09 |
| Find all providers in zip 70548 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| 1598327892 | Clhg-leesville, LLC | Clinic/Center | 927 Verone Ter, Leesville, LA 71446-4255 | 2019-07-08 |
| 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.