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MATERNAL FETAL MEDICINE OF ACADIANA NPI 1770587248


NPI Information

NPI: 1770587248
Provider Name: MATERNAL FETAL MEDICINE OF ACADIANA
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

Address:
105 CORPORATE BLVD
LAFAYETTE, LA
ZIP 70508
Phone: (337) 593-9099
Get Directions

MATERNAL FETAL MEDICINE OF ACADIANA is a maternal and fetal medicine obstetrics gynecology in Lafayette, LA. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. MATERNAL FETAL MEDICINE OF ACADIANA NPI is 1770587248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 CORPORATE BLVD
LAFAYETTE, LA
ZIP 70508-850
Phone: (337) 593-9099
Fax: (337) 948-4392

The provider's authorized official is Paul K. Dibbs .
The authorized official title is Owner and has the following contact phone number (337) 942-1151.

The enumeration date for this NPI number is 6/11/2005 and was last updated on 10/31/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine11220RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CT09MEDICARE PINLOUISIANA
21447757MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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