LOUISIANA KIDNEY UPDATE, LLC (NPI# 1104014349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104014349 |
| Entity Type | Organization |
| Organization Name | LOUISIANA KIDNEY UPDATE, LLC |
| Practice Address |
4811 Ambassador Caffery Pkwy Fl 4 Lafayette LA 70508-7265 |
| Mailing Address |
523 Beverly Dr Lafayette LA 70503-3113 |
| Practice Telephone | 3378399880 |
| Mailing Telephone | 3372345541 |
| Mailing Fax Number | 3375938330 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ANTHONY P BLALOCK (PARTNER/PHYSICIAN) |
| Authorized Official Telephone | 3372574918 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 202 Perdido Ln, Lafayette, LA 705035828 | 3372912455 |
| Street Address |
4811 AMBASSADOR CAFFERY PKWY FL 4 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-7265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205075181 | Ltac of Louisiana, LLC | Long Term Care Hospital | 4811 Ambassador Caffery Pkwy Fl 4, Lafayette, LA 70508-7265 | 2009-02-17 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1336754852 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 2655 Crescent Dr Ste D, Lafayette, CO 80026-3373 | 2020-09-11 |
| 1821216144 | Ladebe LLC | Internal Medicine | 804 Richland Ave, Lafayette, LA 70508-6661 | 2007-04-23 |
| 1821034778 | Alfonso Lebron-berges | Internal Medicine | 2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2006-06-21 |
| 1992747349 | Acadiana Renal Physicians Amc | Internal Medicine | 300 W Saint Mary Blvd, Lafayette, LA 70506-4638 | 2006-06-11 |
| 1447228184 | Akram Al-makki | Internal Medicine | 915 Mezzanine Dr, Suite A, Lafayette, IN 47905-8637 | 2006-03-09 |
| 1093706582 | Steven W Kraft | Internal Medicine | 2655 Crescent Dr, Suite C, Lafayette, CO 80026-3372 | 2005-11-02 |
| 1386635878 | Richard K Halterman | Internal Medicine | 2655 Cresenct Drive, Suite C, Lafayette, CO 80026-3376 | 2005-11-02 |
| 1275524761 | Karen M Lochhead | Internal Medicine | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2005-11-02 |
| 1275194193 | Total Health Clinic LLC | Internal Medicine | 610 Guilbeau Rd, Lafayette, LA 70506-8707 | 2019-06-21 |
| 1992203194 | Denver Nephrologists, PC | Internal Medicine | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2018-01-23 |
| 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.