Kerry T Thibodeaux (NPI# 1093774192, PAC ID# 7416915541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1093774192 |
| PAC ID by PECOS | 7416915541 |
| Professional Enrollment ID | I20050223000122 |
| Full Name | Kerry T Thibodeaux |
| Address |
1233 Wayne Gilmore Circle Suite 250b Opelousas LA 70570-6404 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | THORACIC SURGERY, VASCULAR SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| 191319 | ACADIA ST LANDRY |
| Address | Phone | Organization |
|---|---|---|
| 1555 Gary Dr, Suite A, Breaux Bridge, LA 70517-3448 | 3379092474 | ST MARTIN HOSPITAL INC |
| 1233 Wayne Gilmore Circle, Suite 250b, Opelousas, LA 70570-6404 |
| Street Address |
1233 WAYNE GILMORE CIRCLE SUITE 250B |
| City | OPELOUSAS |
| State | LA |
| Zip | 70570-6404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Elizabeth Addington | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1233 Wayne Gilmore Circle, Suite 450, Opelousas, LA 70570-6405 |
| Kalyan K Veerina | Interventional Cardiology | Cardiovascular Institute of The South, Apmc | 1233 Wayne Gilmore Circle, Suite 450, Opelousas, LA 70570-6405 |
| Stephanie S Guillory | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1233 Wayne Gilmore Circle, Suite 450, Opelousas, LA 70570-6405 |
| Siby G Ayalloore | Advanced Heart Failure and Transplant Cardiology | Cardiovascular Institute of The South, Apmc | 1233 Wayne Gilmore Circle, Suite 450, Opelousas, LA 70570-6405 |
| Samantha N Ashcraft | Physician Assistant | George Raymond Williams, M.d. | 1233 Wayne Gilmore Circle, Suite 250 A, Opelousas, LA 70570-6404 |
| Robert Gomann Genovese Ii | Physician Assistant | George Raymond Williams, M.d. | 1233 Wayne Gilmore Circle, Suite 250 A, Opelousas, LA 70570-6404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Clause | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Thomas R Butaud | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Phillip R Bacilla Jr. | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Mark G Nelson | Physician Assistant | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Gary L Porubsky | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Zvi Aviner | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Sue E Myers | Optometry | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Leon C Lahaye | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Daniel K Kim | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Lionel Smith | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Find all physicians in zip 70570 | |||
| City | OPELOUSAS |
| Zip Code | 70570 |
| Specialty | GENERAL SURGERY |
| City + Specialty | OPELOUSAS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kerry T Thibodeaux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.