DAVID LEE MOUTON (NPI# 1053819706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053819706 |
| Entity Type | Individual |
| Full Name | DAVID LEE MOUTON |
| Credential | CNIM |
| Practice Address |
539 E Prudhomme St Opelousas LA 70570-6499 |
| Mailing Address |
107 Rue Soleil Carencro LA 70520-4033 |
| Practice Telephone | 3379483011 |
| Mailing Telephone | 3373566492 |
| Mailing Fax Number | 3378869983 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
3229 | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104912385 | David Eugene Mouton | Internal Medicine | 1111 Augusta Dr, Houston, TX 77057-2209 | 2006-10-05 |
| Street Address |
539 E PRUDHOMME ST |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-6499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607255 | Jason Fontenot | Anesthesiology | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2005-05-31 |
| 1649898552 | Hannah B Neal | Nurse Anesthetist, Certified Registered | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2020-07-07 |
| 1124659628 | Nicholas Scott Boies | Nurse Practitioner | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2020-02-03 |
| 1013575935 | Troy Fusilier | Pharmacist | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2019-06-05 |
| 1992271605 | Tressie Annette Vincent | Nurse Practitioner | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2018-10-19 |
| 1730660697 | Opelousas General Health System | Pharmacy | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2018-08-28 |
| 1770003659 | Leah Menard Trahan | Nurse Practitioner | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2017-06-22 |
| 1285043042 | Carlos Mendez, Md, LLC | Internal Medicine | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2014-08-06 |
| 1437492717 | Opelousas Physician Services LLC | Physician Assistant | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2013-04-04 |
| 1295098747 | Opelousas General Health System Physician Practices | Surgery | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
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| 1174132971 | Jordan Clavier | Specialist/Technologist, Other | 114 Margaret Lucia Dr, Maurice, LA 70555-3356 | 2020-07-28 |
| 1528523016 | Acadiana Neurological Monitoring, LLC | Specialist/Technologist, Other | 516 Verot School Rd Ste A, Lafayette, LA 70508-5026 | 2019-02-08 |
| 1295210979 | Dms Group, LLC | Specialist/Technologist, Other | 257 W Causeway Approach, Mandeville, LA 70448-3032 | 2018-09-28 |
| 1861976169 | Noble Neurodiagnostic Services, LLC | Specialist/Technologist, Other | 205 Calcasieu Xing, Lafayette, LA 70506-7873 | 2018-09-21 |
| 1518479252 | Angel Miller | Specialist/Technologist, Other | 6174 Mire Hwy, Church Point, LA 70525-5001 | 2017-11-03 |
| 1174056865 | Laser Accurate Iom, Pllc | Specialist/Technologist, Other | 14241 Coursey Blvd Ste A-12, #264, Baton Rouge, LA 70817-1368 | 2017-04-10 |
| 1033570593 | Abraham Kinkopf | Specialist/Technologist, Other | 4822 Royal St, New Orleans, LA 70117-4339 | 2016-03-11 |
| 1043687130 | Advanced Nerve Specialists, LLC | Specialist/Technologist, Other | 337 Brooklyn Ave, Jefferson, LA 70121-2834 | 2015-08-25 |
| 1073991493 | Alexandra Lee Mckowen | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2015-05-18 |
| 1851720999 | Yolanda Strong | Specialist/Technologist, Other | 113 E Saint Peter St, Carencro, LA 70520-4008 | 2013-11-08 |
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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.