MINUTE MED-JOHNSTON LLC (NPI# 1215369665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215369665 |
Entity Type | Organization |
Organization Name | MINUTE MED-JOHNSTON LLC |
Practice Address |
2912 Johnston Street Lafayette LA 70503 |
Practice Telephone | 3374563519 |
Mailing Telephone | 3374563519 |
Enumeration Date | 2013-08-07 |
Last Update Date | 2013-08-07 |
Authorized Official Name | DR. BRAD ALAN BOUDREAUX (OWNER) |
Authorized Official Telephone | 3374563519 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
2912 JOHNSTON STREET |
City | LAFAYETTE |
State | LA |
Zip Code | 70503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
Find all providers in zip 70503 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1225156151 | William Frederick Kortum IIi | General Practice | 3414 Moss St Ste A, Lafayette, LA 70507-6107 | 2007-03-27 |
1598818908 | George Edward Cobb IIi | General Practice | 3501 School Street, Lafayette, CA 94549 | 2007-01-19 |
1013087154 | Doctors Hearing Center LLC Lxxiv | General Practice | 4414 Johnston Street, Suite D, Lafayette, LA 70503 | 2006-11-08 |
1699878124 | Pernell Joseph Simon | General Practice | 207 Westmark Blvd, Lafayette, LA 70506-7365 | 2006-09-07 |
1366423691 | Stanley Thomas Hoover | General Practice | 1144 Coolidge, Suite D, Lafayette, LA 70503 | 2005-11-14 |
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.