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PEDIATRIC GROUP OF ACADIANA LLC NPI 1265499628


NPI Information

NPI: 1265499628
Provider Name: PEDIATRIC GROUP OF ACADIANA, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
401 YOUNGSVILLE HWY
SUITE 100
LAFAYETTE, LA
ZIP 70508
Phone: (337) 330-0031
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PEDIATRIC GROUP OF ACADIANA, LLC is a specialist in Lafayette, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC GROUP OF ACADIANA, LLC NPI is 1265499628. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 YOUNGSVILLE HWY
SUITE 100
LAFAYETTE, LA
ZIP 70508-173
Phone: (337) 330-0031
Fax: (337) 330-0059

The provider's authorized official is Danielle Bourque .
The authorized official title is Collector/biller and has the following contact phone number (337) 330-0031.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 8/21/2012.


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
1174400000XSpecialistYes

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
11440604MEDICAIDLOUISIANA
25CT12MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
3=========0OTHERLOUISIANABLUE CROSS BLUE SHIELD LA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.