WOMAN'S CLINIC OF IBERIA (NPI# 1215372594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215372594 |
Entity Type | Organization |
Organization Name | WOMAN'S CLINIC OF IBERIA |
Practice Address |
811 Albertson Pkwy Suite F Broussard LA 70518-5256 |
Mailing Address |
2309 East Main Street Suite 500 New Iberia LA 70560 |
Practice Telephone | 3373302386 |
Mailing Telephone | 3373642383 |
Enumeration Date | 2013-05-01 |
Last Update Date | 2013-05-06 |
Authorized Official Name | DR. MARTTHA L COPPAGE (VICE PRESIDENT) |
Authorized Official Telephone | 3373642383 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | 022088 | LA | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1451274 | 05 |
Street Address |
811 ALBERTSON PKWY SUITE F |
City | BROUSSARD |
State | LA |
Zip Code | 70518-5256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538153135 | Carlos A Bruno | Pediatrics | 811 Albertson Pkwy, Suite A, Broussard, LA 70518-5256 | 2005-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
1578978664 | .tammy Richert | Durable Medical Equipment & Medical Supplies | 202 W Fairfield Dr, Broussard, LA 70518 | 2014-06-26 |
1104144245 | Brad Joseph Fanguy | Pharmacist | 102 Bentwater Dr, Broussard, LA 70518 | 2010-05-13 |
1891948642 | Dick Steven Guillory | General Practice | 805 Albertson Pkwy Ste C, Broussard, LA 70518 | 2008-10-24 |
1235381575 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 207 Roto Park Drive, Broussard, LA 70518 | 2008-10-17 |
1669685087 | Alison Mcclendon Charpentier | Speech-Language Pathologist | 115 Still Waters Rd., Broussard, LA 70518 | 2007-05-08 |
1174561526 | Inzerella Physical Therapy | Physical Therapist | 803 South Morgan Ave, Broussard, LA 70518 | 2006-06-04 |
1851341432 | Oceans Behavioral Hospital of Lafayette LLC | Psychiatric Hospital | 418 Albertson Parkway, Broussard, LA 70518 | 2006-05-12 |
1023068335 | Louisiana Guest House LLC | Skilled Nursing Facility | 418 Albertsons Parkway, Broussard, LA 70518 | 2006-05-10 |
1124084520 | Glenn Charles Lafleur | Family Medicine | 317 Opus One Dr, Broussard, LA 70518 | 2006-04-25 |
Find all providers in zip 70518 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
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1487293262 | Shyloh L Murphy | Preferred Provider Organization | 203 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-12-27 |
1407388432 | The Right Care | Preferred Provider Organization | 321 Westwood Dr, Crowley, LA 70526-3242 | 2017-03-29 |
1013466051 | Cognitive Development Center | Preferred Provider Organization | 316 Woodale Dr Apt 11, Monroe, LA 71203-2712 | 2016-10-03 |
1043663040 | Elocin of Greater New Orleans | Preferred Provider Organization | 3401 Saint Claude Ave, New Orleans, LA 70117-6144 | 2016-07-14 |
1104277854 | Butterfly Effects | Preferred Provider Organization | 5844 Bienvenue Ave, Marrero, LA 70072-4704 | 2016-06-23 |
1255791950 | Gwangis Conseling | Preferred Provider Organization | 308 Turtle Creek Ln, Saint Rose, LA 70087-3824 | 2016-02-24 |
1427415918 | Family Therapy and Wellness Consulting | Preferred Provider Organization | 418 Webb Ct, Minden, LA 71055-2649 | 2016-01-28 |
1346619137 | Affirmed Counseling Cent | Preferred Provider Organization | 4419 General Pershing St, New Orleans, LA 70125-3632 | 2015-09-22 |
1861861148 | Integrity Managed Care Systems | Preferred Provider Organization | 124 Nita St, New Iberia, LA 70563-2424 | 2015-09-17 |
1386990430 | Living Waters Community Ministry | Preferred Provider Organization | 803 N 48th St, Baton Rouge, LA 70802-1346 | 2012-07-26 |
Find all providers with the same taxonomy |
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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.