THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI# 1134438906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134438906 |
| Entity Type | Organization |
| Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Other Organization Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION - NEUROSURGERY |
| Practice Address |
726 N Acadia Rd Ste 2100 Thibodaux LA 70301-4897 |
| Mailing Address |
Po Box 5478 Thibodaux LA 70302-5478 |
| Practice Telephone | 9854472645 |
| Practice Fax Number | 9854472604 |
| Mailing Telephone | 9854472645 |
| Mailing Fax Number | 9854472604 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | STEVE GAUBERT (AGENT) |
| Authorized Official Telephone | 9854934721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2131975 | 05 |
| Other Name | Type Code |
|---|---|
| Thibodaux Regional Network Development Corporation - Neurosurgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836166 | Thibodaux Regional Network Development Corporation | Podiatrist | 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | 2020-06-24 |
| 1003430257 | Thibodaux Regional Network Development Corporation | Surgery | 604 N Acadia Rd Ste 410, Thibodaux, LA 70301-4897 | 2020-06-03 |
| 1396162269 | Thibodaux Regional Network Development Corporation | Family Medicine | 114 Hwy 403, Paincourtville, LA 70391-0300 | 2014-03-27 |
| 1184963613 | Thibodaux Regional Network Development Corporation | Obstetrics & Gynecology | 604 N Acadia Rd Ste 500, Thibodaux, LA 70301-4743 | 2013-02-04 |
| 1467427336 | Thibodaux Regional Network Development Corporation | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2006-02-22 |
| 1043834260 | Thibodaux Regional Network Development Corporation | Urology | 504 N Acadia Rd, Thibodaux, LA 70301-4862 | 2020-06-03 |
| 1437664646 | Thibodaux Regional Network Development Corporation | Pathology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2017-12-11 |
| 1447701412 | Thibodaux Regional Network Development Corporation | Internal Medicine | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2016-10-14 |
| 1114339181 | Thibodaux Regional Network Development Corporation | Psychiatry & Neurology | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4897 | 2014-05-27 |
| 1215355128 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301-4847 | 2014-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION - RHEUMATOLOGY | 1105 Audubon Ave Ste B, Thibodaux, LA 70301-4940 |
| Street Address |
726 N ACADIA RD STE 2100 |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049743 | David Wadie Elias | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2006-05-15 |
| 1851918247 | Shane M Chiasson | Specialist/Technologist | 726 N Acadia Rd, Thibodaux, LA 70301-5051 | 2020-07-01 |
| 1215355128 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301-4847 | 2014-03-29 |
| 1396175857 | Thibodaux Regional Network Development Corporation | Pain Medicine | 726 N Acadia Rd, Ste 2400, Thibodaux, LA 70301-4847 | 2013-11-20 |
| 1083921944 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3400, Thibodaux, LA 70301-4847 | 2010-09-13 |
| 1841469681 | Patrick Roan Ellender | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2008-02-26 |
| 1174662936 | John Christian Hildenbrand Iv | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2007-02-06 |
| 1548315500 | Richard A Morvant Jr. | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2007-01-23 |
| 1891887022 | Jason A. Higgins | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2006-09-28 |
| 1932130143 | Luis N Hernandez | Anesthesiology | 726 N Acadia Rd, Suite 2400, Thibodaux, LA 70301-4847 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880010 | Koga LLC | Neurological Surgery | 187 Greenbrier Blvd Ste A, Covington, LA 70433-7299 | 2020-01-10 |
| 1770124133 | Neuroglympse, LLC | Neurological Surgery | 49 Hummingbird Rd, Covington, LA 70433-4505 | 2019-10-07 |
| 1063927838 | Total Joint Cin of Louisiana LLC | Neurological Surgery | 2117 Veterans Memorial Blvd Unit 421, Metairie, LA 70002-6321 | 2017-12-02 |
| 1861905291 | Spinemark Baton Rouge Clinic LLC | Neurological Surgery | 455 E Airport Ave, Baton Rouge, LA 70806-4832 | 2017-11-07 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1144681800 | Hill Country Monitoring LLC | Neurological Surgery | 650 Poydas St, Ste 1400, New Orleans, LA 70130 | 2016-03-09 |
| 1184028367 | Arthur Wang | Neurological Surgery | 1430 Tulane Ave # 8047, New Orleans, LA 70112-2632 | 2014-10-16 |
| 1790026789 | Jillian Ann Ploof | Neurological Surgery | 8200 Constantin Blvd Fl 1, Baton Rouge, LA 70809-3481 | 2013-03-15 |
| 1881934057 | Erich O Richter Md A Professional Medical LLC | Neurological Surgery | 4700 Wichers Dr Ste 202, Marrero, LA 70072-3054 | 2013-02-25 |
| 1669730313 | Matthew Ryan Burton | Neurological Surgery | 2770 3rd Ave Ste 110, Lake Charles, LA 70601-0404 | 2012-05-01 |
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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.