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CENTERWELL SENIOR PRIMARY CARE (LA) PC NPI 1871116244


NPI Information

NPI: 1871116244
Provider Name: CENTERWELL SENIOR PRIMARY CARE (LA) PC

Doing Business As: PARTNERS IN PRIMARY CARE-LAFAYETTE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 19D2186520

Address:
539 BERTRAND DR
LAFAYETTE, LA
ZIP 70506
Phone: (337) 294-1230
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CENTERWELL SENIOR PRIMARY CARE (LA) PC is an internal medicine in Lafayette, LA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CENTERWELL SENIOR PRIMARY CARE (LA) PC NPI is 1871116244. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Partners In Primary Care-lafayette.

The provider's business location address is:

539 BERTRAND DR
LAFAYETTE, LA
ZIP 70506-556
Phone: (337) 294-1230
Fax: (833) 749-0347

The provider's authorized official is Tina Shenouda .
The authorized official title is Chief Medical Officer, Vp and has the following contact phone number (713) 775-6908.

The CLIA number assigned to this NPI record is 19D2186520 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 6/18/2021.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes

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: 11/14/2023

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.