| Louisiana Gastroenterology Associates Llc | |
|
1211 Coolidge Blvd Ste 303 Lafayette LA 70503-2636 | |
| (337) 232-6697 | |
| (337) 500-1358 |
| Full Name | Louisiana Gastroenterology Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 Coolidge Blvd Ste 303, Lafayette, Louisiana |
| Authorized Official Name and Position | Tasha Cieslak (AUTHORIZED SIGNEE) |
| Authorized Official Contact | 3372326697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Gastroenterology Associates Llc 1211 Coolidge Blvd Ste 303 Lafayette LA 70503-2636 Ph: (337) 232-6697 | Louisiana Gastroenterology Associates Llc 1211 Coolidge Blvd Ste 303 Lafayette LA 70503-2636 Ph: (337) 232-6697 |
| NPI Number | 1366195091 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 4789079781 |
|---|---|
| Medicare Enrollment ID | O20220309001421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366195091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | James C Bienvenu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396811402 PECOS PAC ID: 5597751057 Enrollment ID: I20040421001320 |
| Provider Name | Richard Broussard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639245798 PECOS PAC ID: 2769478015 Enrollment ID: I20040422000195 |
| Provider Name | Patrick A Laperouse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801901335 PECOS PAC ID: 4082644547 Enrollment ID: I20050816000179 |
| Provider Name | Stephen G Abshire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992899470 PECOS PAC ID: 1759304975 Enrollment ID: I20070329000611 |
| Provider Name | Jacque F Noel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558371450 PECOS PAC ID: 8527157106 Enrollment ID: I20071204000837 |
| Provider Name | Susan H Miedecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821103870 PECOS PAC ID: 3678657434 Enrollment ID: I20080303000779 |
| Provider Name | Erick A Salvatierra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508067653 PECOS PAC ID: 6305906751 Enrollment ID: I20081115000073 |
| Provider Name | James Patrick Herrington |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386710457 PECOS PAC ID: 8729113345 Enrollment ID: I20100503000119 |
| Provider Name | Sylvia M Oats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194966622 PECOS PAC ID: 1052503596 Enrollment ID: I20101004000092 |
| Provider Name | Cynthia Kyra Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629412069 PECOS PAC ID: 6204054182 Enrollment ID: I20140908000539 |
| Provider Name | Eric P Trawick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699979187 PECOS PAC ID: 5698917128 Enrollment ID: I20141002001659 |
| Provider Name | Christopher Patrick Herrington |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598932139 PECOS PAC ID: 2668693193 Enrollment ID: I20141024001596 |
| Provider Name | Jacob R Karr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790919173 PECOS PAC ID: 0648490524 Enrollment ID: I20150715000685 |
| Provider Name | Maneesh Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417271420 PECOS PAC ID: 7214221092 Enrollment ID: I20160803000076 |
| Provider Name | John B Rhodes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023350816 PECOS PAC ID: 9436455565 Enrollment ID: I20161110000408 |
| Provider Name | Jacob L Breaux |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437416617 PECOS PAC ID: 0042434961 Enrollment ID: I20180807001887 |
| Provider Name | Anne Marie Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891386561 PECOS PAC ID: 9638585060 Enrollment ID: I20210310001669 |
| Provider Name | James R Hollier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922461367 PECOS PAC ID: 2466749643 Enrollment ID: I20220706002224 |
| Provider Name | Taylor Dayne Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457122855 PECOS PAC ID: 4981043254 Enrollment ID: I20240418004303 |
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