DR. FOSTER CLINT KORDISCH III (NPI# 1306916002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306916002 |
| Entity Type | Individual |
| Full Name | DR. FOSTER CLINT KORDISCH III |
| Credential | MD |
| Practice Address |
1214 Coolidge Blvd Lafayette LA 70503-2621 |
| Mailing Address |
142 Acacia Dr Lafayette LA 70508-4002 |
| Practice Telephone | 3372897183 |
| Mailing Telephone | 3372641303 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 24286 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1570044 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766360 | Foster Clinton Kordisch Jr. | Pediatrics | 2903 1st Ave, Lake Charles, LA 70601-8809 | 2005-11-02 |
| Street Address |
1214 COOLIDGE BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536799 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2005-05-30 |
| 1518577030 | Lafayette General Medical Center Inc | Clinic/Center | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-08-10 |
| 1487278016 | Morgan Jade Angelle | Physician Assistant | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-05-29 |
| 1710508296 | Decolia Ronic Rogers | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-05-06 |
| 1912545120 | Steven Minervini | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-12-18 |
| 1942848395 | Selleck Leblanc | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-12-17 |
| 1316581325 | Laken Tujague | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-11-01 |
| 1205499605 | Jacob Michael O'quin | Physician Assistant | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-04-21 |
| 1679039606 | Jacqueline White | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-02-14 |
| 1568927978 | Linsey Mae Zaroban | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-02-11 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
| 1710328653 | Medexpress Urgent Care, PC - Indiana | Emergency Medicine | 102 Sagamore Pkwy S, Lafayette, IN 47905-4745 | 2013-07-08 |
| 1467751354 | Devan Guidry Szczepanski | Emergency Medicine | 619 Saint Catherine St, Lafayette, LA 70506-4328 | 2011-03-18 |
| 1730359977 | Tonya Boudreaux | Emergency Medicine | 4600 Ambassador Caffery- Emergency Dept., Lafayette, LA 70508 | 2008-03-04 |
| 1063692481 | Braden Conrad Despot | Emergency Medicine | 200 Travis St Ste 201, Lafayette, LA 70503-2447 | 2007-11-14 |
| 1699970830 | Charles P Gillespie | Emergency Medicine | 2849 Crater Lake Ln, Lafayette, CO 80026-3488 | 2007-06-18 |
| 1730239542 | Charles T. Clemons | Emergency Medicine | 926 Raintree Pl, Lafayette, CA 94549-4816 | 2007-01-12 |
| 1811076995 | Brad Alan Boudreaux | Emergency Medicine | 3619 Ambassador Caffery Pkwy, Bldg E, Lafayette, LA 70503-5132 | 2006-11-02 |
| 1528158060 | Joseph C Ryan | Emergency Medicine | 607 Greenbriar Rd, Lafayette, LA 70503-0000 | 2006-10-13 |
| 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.