Texas Digestive Disease Consultants, Pllc | |
764 North Acadia Road Suite A Thibodaux LA 70301 | |
(985) 446-1958 | |
(985) 446-0121 |
Full Name | Texas Digestive Disease Consultants, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 764 North Acadia Road, Thibodaux, Louisiana |
Authorized Official Name and Position | Kristina Lowery (MANAGER, CREDENTIALING) |
Authorized Official Contact | 2144242200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Texas Digestive Disease Consultants, Pllc Po Box 206239 Dallas TX 75320-6239 Ph: (214) 424-2200 | Texas Digestive Disease Consultants, Pllc 764 North Acadia Road Suite A Thibodaux LA 70301 Ph: (985) 446-1958 |
NPI Number | 1154837391 |
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Provider Enumeration Date | 12/26/2017 |
Last Update Date | 09/17/2024 |
Medicare PECOS PAC ID | 3375531379 |
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Medicare Enrollment ID | O20180125001639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154837391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Abdul M Khan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881697134 PECOS PAC ID: 5395644314 Enrollment ID: I20040108000074 |
Provider Name | Sanjeeva T Reddy |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669474904 PECOS PAC ID: 6608761648 Enrollment ID: I20040218000469 |
Provider Name | Shantiprakash M Kedia |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1295738557 PECOS PAC ID: 3678468626 Enrollment ID: I20040218000545 |
Provider Name | Nicholas J Persich |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1235245705 PECOS PAC ID: 2365341542 Enrollment ID: I20040407000476 |
Provider Name | Walter Mullins |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1730154808 PECOS PAC ID: 3072500172 Enrollment ID: I20040429001018 |
Provider Name | Richard W Awtrey |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1649203761 PECOS PAC ID: 9436133170 Enrollment ID: I20040617001624 |
Provider Name | Mark J Marino |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1497861314 PECOS PAC ID: 8426033044 Enrollment ID: I20040618001328 |
Provider Name | James D Lilly |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1003819350 PECOS PAC ID: 6305822313 Enrollment ID: I20040629000478 |
Provider Name | Kimberly Drake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174580245 PECOS PAC ID: 6204895055 Enrollment ID: I20041007000079 |
Provider Name | Mark John Wegmann |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114095965 PECOS PAC ID: 2961453303 Enrollment ID: I20050203000080 |
Provider Name | Caroline Segura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306871645 PECOS PAC ID: 2062461064 Enrollment ID: I20050408001130 |
Provider Name | Stephen C Duplechain |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861460982 PECOS PAC ID: 8628010295 Enrollment ID: I20050524000624 |
Provider Name | Charles J Monier |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1043288160 PECOS PAC ID: 8729018957 Enrollment ID: I20050819000064 |
Provider Name | Amy Lobrano |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1255382909 PECOS PAC ID: 2961412499 Enrollment ID: I20060428000146 |
Provider Name | Christopher J Christensen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1295787802 PECOS PAC ID: 1456361989 Enrollment ID: I20060428000177 |
Provider Name | Veronica N Dugan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245292515 PECOS PAC ID: 6901818319 Enrollment ID: I20060630000164 |
Provider Name | Herbert K Mayer |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447225537 PECOS PAC ID: 7012975469 Enrollment ID: I20061128000162 |
Provider Name | James N Arterburn |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538253034 PECOS PAC ID: 1759485873 Enrollment ID: I20070329000621 |
Provider Name | Rebekah Lemann |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1235291360 PECOS PAC ID: 7810080132 Enrollment ID: I20070831000616 |
Provider Name | Gary Michael Reiss |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568666543 PECOS PAC ID: 3678593563 Enrollment ID: I20071011000497 |
Provider Name | Neelima G Reddy |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770796138 PECOS PAC ID: 7113013400 Enrollment ID: I20071018000029 |
Provider Name | Melanie Nutter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609843200 PECOS PAC ID: 0042399198 Enrollment ID: I20080501000046 |
Provider Name | Ryan N Chauvin |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1417158536 PECOS PAC ID: 7315015757 Enrollment ID: I20081013000016 |
Provider Name | William Anthony Anderson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598730707 PECOS PAC ID: 1951351501 Enrollment ID: I20090707000042 |
Provider Name | Lemuel Phillips Jenkins |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1386855138 PECOS PAC ID: 7214083872 Enrollment ID: I20090923000301 |
Provider Name | Benton Michael Oubre |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1457326522 PECOS PAC ID: 5698855955 Enrollment ID: I20100610000987 |
Provider Name | Maheswar Rao |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306812326 PECOS PAC ID: 9133179799 Enrollment ID: I20100614000649 |
Provider Name | Robert Mario Be |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1417923970 PECOS PAC ID: 9830094630 Enrollment ID: I20100615000617 |
Provider Name | Charles Cole Berggreen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033183769 PECOS PAC ID: 3870494727 Enrollment ID: I20100623000471 |
Provider Name | Douglas Christopher Walsh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750356929 PECOS PAC ID: 2961582218 Enrollment ID: I20100624000054 |
Provider Name | Scott D Pollack |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1366633166 PECOS PAC ID: 9739210121 Enrollment ID: I20100629000420 |
Provider Name | Anthony F Albright |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1053373316 PECOS PAC ID: 0143115030 Enrollment ID: I20100707000374 |
Provider Name | Timothy Trainor |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1871555136 PECOS PAC ID: 0143115048 Enrollment ID: I20100707000581 |
Provider Name | Felix G Rabito |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1619939410 PECOS PAC ID: 5991837635 Enrollment ID: I20100716000109 |
Provider Name | David R Silvers |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1316052087 PECOS PAC ID: 6002913274 Enrollment ID: I20100719000068 |
Provider Name | Georges Elie Catinis |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861495285 PECOS PAC ID: 1951407964 Enrollment ID: I20100729000365 |
Provider Name | Steve George Venturatos |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144222498 PECOS PAC ID: 8224937248 Enrollment ID: I20100730000617 |
Provider Name | Howard Ira Brenner |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1992708317 PECOS PAC ID: 8426957440 Enrollment ID: I20100730000802 |
Provider Name | Ronald Leo |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1295700623 PECOS PAC ID: 1850341413 Enrollment ID: I20100730000821 |
Provider Name | Andrew Nelson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1558336164 PECOS PAC ID: 5597715151 Enrollment ID: I20100730000871 |
Provider Name | George Richard Puente |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1821090192 PECOS PAC ID: 0345149365 Enrollment ID: I20100804000260 |
Provider Name | William Meyers |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407859747 PECOS PAC ID: 0042119067 Enrollment ID: I20100804000595 |
Provider Name | John Walker Mcdonald |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1386834281 PECOS PAC ID: 1658404090 Enrollment ID: I20100805000190 |
Provider Name | Charles G Schibler |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669474920 PECOS PAC ID: 3870492895 Enrollment ID: I20100811000305 |
Provider Name | Satyaprasad Alapati |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679549695 PECOS PAC ID: 8123078789 Enrollment ID: I20100813000650 |
Provider Name | Benjamin Alfred Guider |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1255334512 PECOS PAC ID: 9335048354 Enrollment ID: I20100816000418 |
Provider Name | Rian Moss Tanenbaum |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356343610 PECOS PAC ID: 4688573603 Enrollment ID: I20100824000159 |
Provider Name | Jonathon C. Chapman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689867434 PECOS PAC ID: 8628193034 Enrollment ID: I20100908000885 |
Provider Name | Sylvia M Oats |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194966622 PECOS PAC ID: 1052503596 Enrollment ID: I20101004000092 |
Provider Name | Mark J Nicaud |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598927667 PECOS PAC ID: 7214115211 Enrollment ID: I20110622000152 |
Provider Name | Aimee Goodier |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1609069384 PECOS PAC ID: 9436329364 Enrollment ID: I20110831000496 |
Provider Name | Catherine Delord George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497025019 PECOS PAC ID: 3375700107 Enrollment ID: I20120207000526 |
Provider Name | Vernon Carriere |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1619180734 PECOS PAC ID: 4688837560 Enrollment ID: I20120514000470 |
Provider Name | Edward Alan Maltbie |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1578787495 PECOS PAC ID: 0749306629 Enrollment ID: I20120806000887 |
Provider Name | Justin Paul Toups |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1780877431 PECOS PAC ID: 5698916781 Enrollment ID: I20130801000518 |
Provider Name | Oleana N Lamendola |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1225220627 PECOS PAC ID: 9830333848 Enrollment ID: I20130912000681 |
Provider Name | Brett Michael Hymel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134396773 PECOS PAC ID: 2961620968 Enrollment ID: I20140904002759 |
Provider Name | Eric P Trawick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699979187 PECOS PAC ID: 5698917128 Enrollment ID: I20141002001659 |
Provider Name | Nathaniel R Ranney |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1366676223 PECOS PAC ID: 3375767536 Enrollment ID: I20150520000835 |
Provider Name | Jacob R Karr |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790919173 PECOS PAC ID: 0648490524 Enrollment ID: I20150715000685 |
Provider Name | Mark D Porta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275890436 PECOS PAC ID: 2860795572 Enrollment ID: I20160428002154 |
Provider Name | Edward W Dauterive |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1720302730 PECOS PAC ID: 7214217132 Enrollment ID: I20161212002322 |
Provider Name | Mallori M Fletcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750734356 PECOS PAC ID: 5496037715 Enrollment ID: I20170123000712 |
Provider Name | Brittni Tullier |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1578000816 PECOS PAC ID: 9638456296 Enrollment ID: I20170508002631 |
Provider Name | Donna J Lager |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1942270178 PECOS PAC ID: 8628129061 Enrollment ID: I20180507002102 |
Provider Name | Ravi Arunkumar Patel |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1134447535 PECOS PAC ID: 6901044809 Enrollment ID: I20180508001009 |
Provider Name | Uyen K Ly |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1851518773 PECOS PAC ID: 6709191646 Enrollment ID: I20180508001313 |
Provider Name | Matthew Lewin |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1669450441 PECOS PAC ID: 0042276446 Enrollment ID: I20180522000212 |
Provider Name | Julie Clerc Guider |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1477843761 PECOS PAC ID: 2264661099 Enrollment ID: I20180716000968 |
Provider Name | Jacob L Breaux |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1437416617 PECOS PAC ID: 0042434961 Enrollment ID: I20180807001887 |
Provider Name | Craig Edward Litz |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770509952 PECOS PAC ID: 7911925631 Enrollment ID: I20190128003153 |
Provider Name | Reenu Malhotra |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1295991198 PECOS PAC ID: 7911056064 Enrollment ID: I20190131003068 |
Provider Name | Jamie Koo |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1780027763 PECOS PAC ID: 1456673433 Enrollment ID: I20190208001204 |
Provider Name | Yaman Tarabishy |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1962752022 PECOS PAC ID: 7315231024 Enrollment ID: I20190311000951 |
Provider Name | Megan N Legendre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316402969 PECOS PAC ID: 2860735792 Enrollment ID: I20190516002232 |
Provider Name | Robin Mary Staudinger |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1558603985 PECOS PAC ID: 7618287525 Enrollment ID: I20190618000376 |
Provider Name | Benjamin W Kurz |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1710229596 PECOS PAC ID: 8022314715 Enrollment ID: I20190621000027 |
Provider Name | Katie Hebert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942765326 PECOS PAC ID: 7113251885 Enrollment ID: I20190628002749 |
Provider Name | Shelley Boyte Maillho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770172967 PECOS PAC ID: 3173938271 Enrollment ID: I20210224000132 |
Provider Name | Wren Vines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245776343 PECOS PAC ID: 0749566024 Enrollment ID: I20210226000227 |
Provider Name | Trang Uyen-linda Ly |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1013175694 PECOS PAC ID: 7517253735 Enrollment ID: I20210318000077 |
Provider Name | Michael P Barker |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750701355 PECOS PAC ID: 0345546313 Enrollment ID: I20210610001905 |
Provider Name | Mary R Buckwalter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013682012 PECOS PAC ID: 6901295286 Enrollment ID: I20211108000120 |
Provider Name | Brandon Brousse |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1508229618 PECOS PAC ID: 7810282415 Enrollment ID: I20220530000023 |
Provider Name | Jacob Dwayne Labatut |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003555624 PECOS PAC ID: 8527448687 Enrollment ID: I20220706003962 |
Provider Name | Lauren Christina Waddell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174254957 PECOS PAC ID: 5799167706 Enrollment ID: I20220806000450 |
Provider Name | James K Campbell |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1053331421 PECOS PAC ID: 1658356993 Enrollment ID: I20231026004349 |
Provider Name | Casey Lambert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063273605 PECOS PAC ID: 4183060288 Enrollment ID: I20240312001397 |
Bayou Healthcare Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 E 11th St., Thibodaux, LA 70301 Phone: 985-228-6223 | |
Family Doctor Clinic Drs Harris & Magee A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 S Acadia Rd, Thibodaux, LA 70301 Phone: 985-446-2680 | |
Ochsner Urgent Care - Thibodaux Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 N Canal Blvd, Thibodaux, LA 70301 Phone: 985-446-5210 | |
Life Coast Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Audubon Ave Ste S1, Thibodaux, LA 70301 Phone: 985-492-6170 | |
Thibodaux Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 931 N Canal Blvd, Thibodaux, LA 70301 Phone: 985-446-6381 Fax: 985-446-5992 | |
Thibodaux Regional Endocrinology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301 Phone: 985-493-3080 Fax: 985-493-4007 |