DR. KENNETH M SPILLER (NPI# 1043220239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043220239 |
| Entity Type | Individual |
| Full Name | DR. KENNETH M SPILLER |
| Credential | MD |
| Practice Address |
4809 Ambassador Caffery Pkwy Suite 430 Lafayette LA 70508-8800 |
| Practice Telephone | 3374703109 |
| Practice Fax Number | 3374703110 |
| Mailing Telephone | 3374703109 |
| Mailing Fax Number | 3374703110 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | L018312 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1355984 | 05 | |
| LA | RAILROAD MEDICARE | CK2924 | 01 |
| Street Address |
4809 AMBASSADOR CAFFERY PKWY SUITE 430 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378453 | George A Sobiesk | Podiatrist | 4809 Ambassador Caffery Pkwy, Suite 200, Lafayette, LA 70508-6917 | 2005-07-07 |
| 1891226056 | Our Lady of Lourdes Regional Medical Center, Inc. | Non-Pharmacy Dispensing Site | 4809 Ambassador Caffery Pkwy, Suite 110, Lafayette, LA 70508-8800 | 2017-03-21 |
| 1659820777 | Radiation Oncology Associates of Acadiana, LLP | Radiology | 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508-8800 | 2016-09-30 |
| 1114471612 | Physical Therapy Clinic of Lafayette, LLC | Physical Therapist | 4809 Ambassador Caffery Pkwy, Lafayette, LA 70508-8800 | 2016-08-12 |
| 1154703627 | Melanie Mier Md A Professional Medical Corporation | Internal Medicine | 4809 Ambassador Caffery Pkwy, Suite 410, Lafayette, LA 70508-8802 | 2015-06-22 |
| 1992183305 | Victoria English | Physician Assistant | 4809 Ambassador Caffery Pkwy, Suite 110, Lafayette, LA 70508-8800 | 2015-05-18 |
| 1386031235 | Carmichael's Cashway Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4809 Ambassador Caffery Pkwy, Suite 220, Lafayette, LA 70508-8800 | 2015-04-17 |
| 1740671619 | Prevail Heart Clinic of Lafayette, LLC | Internal Medicine | 4809 Ambassador Caffery Pkwy, Suite 480, Lafayette, LA 70508-8802 | 2015-02-12 |
| 1568863306 | Britni Hebert, M.d., Apmc | Specialist | 4809 Ambassador Caffery Pkwy, Suite 410, Lafayette, LA 70508-8800 | 2014-09-11 |
| 1821421538 | Abigail Theresa Pelafigue | Nurse Practitioner | 4809 Ambassador Caffery Pkwy, Suite 430, Lafayette, LA 70508-8800 | 2013-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144501 | Sw Louisiana Internal Medicine LLC | Internal Medicine | 105 Patriot St Ste 202, Lafayette, LA 70508-6831 | 2020-11-04 |
| 1205340676 | Robert Caspari | Internal Medicine | 2465 Cana Ct, Lafayette, CO 80026-9345 | 2017-11-21 |
| 1285151282 | Internal Medicine Clinic of Acadiana, LLC | Internal Medicine | 100 Waterford Dr, Lafayette, LA 70503-5401 | 2017-08-29 |
| 1669823142 | Lafayette Weight Loss Clinic, LLC | Internal Medicine | 5439 Johnston St, Lafayette, LA 70503-5135 | 2016-06-27 |
| 1689024911 | Himani Reddy Manthena | Internal Medicine | 401 Youngsville Hwy Ste 200b, Lafayette, LA 70508-5173 | 2016-06-17 |
| 1295196194 | Emily Charlie | Internal Medicine | 155 Hospital Dr Ste 205, Lafayette, LA 70503-2852 | 2016-03-19 |
| 1285095372 | Chad N Heinen Md Hospitalist Corporation | Internal Medicine | 310 Highway 89, Lafayette, LA 70508-4524 | 2016-03-16 |
| 1316308190 | Linda Lipstate | Internal Medicine | 408 Roswell Xing, Lafayette, LA 70508-6778 | 2016-03-08 |
| 1821484833 | Shantell Ceaser | Internal Medicine | 2390 West Congress Street., Lafayette, LA 70506 | 2015-04-07 |
| 1932511821 | Rory Bennett | Internal Medicine | 515 Saint Julien Ave, Lafayette, LA 70506-4735 | 2014-05-27 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.