MATTHEW B. BOUDREAUX, M.D., L.L.C.


Address: 1103 W University Ave, Lafayette, LA 70506-3462
Phone: 3372330219

MATTHEW B. BOUDREAUX, M.D., L.L.C. (NPI# 1205124955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205124955
Entity Type Organization
Organization Name MATTHEW B. BOUDREAUX, M.D., L.L.C.
Practice Address 1103 W University Ave
Lafayette
LA 70506-3462
Practice Telephone 3372330219
Practice Fax Number 3372332418
Mailing Telephone 3372330219
Mailing Fax Number 3372332418
Enumeration Date 2011-07-15
Last Update Date 2011-11-17
Authorized Official Name DR. MATTHEW B BOUDREAUX (PRESIDENT)
Authorized Official Telephone 3372330219
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE P00973633 01
LA 1214868 05

Office Location

Street Address 1103 W UNIVERSITY AVE
City LAFAYETTE
State LA
Zip Code 70506-3462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093070476 Michael F Horaist, M.d. LLC Colon & Rectal Surgery 1103 W University Ave, Lafayette, LA 70506-3462 2012-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417421447 Maranda Washington Student in an Organized Health Care Education/Training Program 202 Reinhardt Drive, Lafayette, LA 70506 2019-01-12
1447742473 Glenda Gravouilla Poulan Driver 330 Guilbeau Rd, Lafayette, LA 70506 2018-06-05
1194215905 Angelica Plumbar Case Manager/Care Coordinator 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 2018-05-16
1801394820 Acadiana Ambulatory Health Care Services Non-Pharmacy Dispensing Site 207 Westmark Blvd., Lafayette, LA 70506 2018-01-24
1578070041 Kimberly Lois Robinson Counselor 203 Pinto St, Lafayette, LA 70506 2018-01-05
1558890814 Shanece Marie Solomon Speech-Language Pathologist 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 2017-06-08
1225565625 Keena Lewis Case Manager/Care Coordinator 121 Kohen Luke Dr, Lafayette, LA 70506 2017-05-16
1326571498 Natasha Deville Community/Behavioral Health 1408 W Willow St 162, Lafayette, LA 70506 2017-04-06
1952846826 Mia D Arthur Behavioral Analyst 511 Monarch Dr, Lafayette, LA 70506 2016-12-30
1265983340 Eric Prince Specialist/Technologist 202 Reinhardt Dr., Lafayette, LA 70506 2016-10-24
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740284454 Kenneth J. Champagne Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2005-06-09
1548784523 Bradley P Champagne, Md, LLC Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2017-08-01
1932655073 Surgone, PC Colon & Rectal Surgery 150 Old Laramie Trl E, Suite 130, Lafayette, CO 80026-7018 2016-08-29
1093070476 Michael F Horaist, M.d. LLC Colon & Rectal Surgery 1103 W University Ave, Lafayette, LA 70506-3462 2012-07-11
1578858288 Bradley Paul Champagne Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2011-06-10
1922218239 Michael F Horaist Colon & Rectal Surgery 200 Beaullieu Dr, Bldg 3b, Lafayette, LA 70508-7230 2007-05-23
1245440577 Matthew B Boudreaux Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2007-05-23
1912967316 Kenneth J. Champagne, M.d., Apmc Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2006-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245640291 Bryan Cross Colon & Rectal Surgery 2495 Shreveport Hwy (va Medical Center), Mail Code 112, Pineville, LA 71360 2014-04-29
1962792291 Matthew David Zelhart Colon & Rectal Surgery 3100 Galleria Dr Ste 303, Metairie, LA 70001-2196 2011-04-07
1487970778 Chad E Lewis Md A Professional Medical Corporation Colon & Rectal Surgery 812 Broadway St., Minden, LA 71055-3330 2010-04-13
1003859141 Andrew M Werner Colon & Rectal Surgery 1811 E Bert Kouns Ste 430, Shreveport, LA 71105 2006-06-14
1881659761 Jeffrey F Griffin Colon & Rectal Surgery 3100 Galleria Dr, Ste 303, Metairie, LA 70001-2196 2006-04-20
1598185118 Elyse Bevier-rawls Colon & Rectal Surgery 1542 Tulane Ave Rm 734, New Orleans, LA 70112-2865 2014-04-22
1609175348 Nathan Hite Colon & Rectal Surgery 7777 Hennessy Blvd Ste 206, Baton Rouge, LA 70808-4363 2011-03-21
1396063244 Joseph Marrazzo, IIi, Md, Apmc Colon & Rectal Surgery 501 Medical Center Dr, Suite 410, Alexandria, LA 71301-8124 2010-05-16
1598908253 William Forrest Johnston Colon & Rectal Surgery 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2009-04-10
1922254002 Joann E Warrick Colon & Rectal Surgery 3217 Mabel St, Shreveport, LA 71103 2008-08-08
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Competitor

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City LAFAYETTE
Zip Code 70506

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Dataset Information

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.

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