DR. ERIC TYSON GUILBEAU (NPI# 1427347111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427347111 |
| Entity Type | Individual |
| Full Name | DR. ERIC TYSON GUILBEAU |
| Credential | M.D. |
| Practice Address |
2390 W Congress St Lafayette LA 70506-4205 |
| Practice Telephone | 3372616655 |
| Mailing Telephone | 3372616655 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD.207050 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2390 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468353 | Tina Marie Boudreaux | Nurse Practitioner | 2390 W Congress St, Lafayette, LA 70506-4205 | 2005-06-26 |
| 1548869647 | Alex Marie Boudreaux | Audiologist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-10-20 |
| 1265042782 | University Hospital & Clinics, Inc. | Clinic/Center | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-08-10 |
| 1619599479 | Angela Leblanc | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-14 |
| 1366064388 | Suzette Bonneval | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-13 |
| 1134757032 | Jacob Michael Clement | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-28 |
| 1902433535 | De'angellica Vaughn-allen | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-24 |
| 1891322665 | Joseph Gohres Prechter Jr. | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-23 |
| 1861028904 | Christopher Chedid | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
| 1750917712 | Priscilla Tutu | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
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| 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 |
| Find all providers in zip 70506 | ||||
| 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 |
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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.