THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1851532964

NPI Information

  • NPI: 1851532964
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • :
  • Address: 604 N ACADIA RD
    STE 409
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 447-5500

Map and Directions

Get Directions

NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is a thoracic surgery cardiothoracic vascular surgery in Thibodaux, LA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1851532964. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

604 N ACADIA RD
STE 409
THIBODAUX, LA
ZIP 70301-897
Phone: (985) 447-5500

The provider's authorized official is Kim Legendre Boudreaux .
The authorized official title is Contract Manager and has the following contact phone number (985) 493-4907.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 6/3/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
22080P0202XPediatricsPediatric CardiologyNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11800856MEDICAIDLOUISIANA

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI