JACOB LEE BREAUX (NPI# 1437416617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437416617 |
| Entity Type | Individual |
| Full Name | JACOB LEE BREAUX |
| Credential | M.D. |
| Practice Address |
1211 Coolidge Blvd Ste 303 Lafayette LA 70503 |
| Mailing Address |
1211 Coolidge Blvd Ste 303 Lafayette LA 70503-2636 |
| Practice Telephone | 3372326697 |
| Practice Fax Number | 3372326605 |
| Mailing Telephone | 3372326697 |
| Mailing Fax Number | 3372326605 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD.207307 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260947 | Jacob David Breaux | Behavior Technician | 6338 Morgan Rd, Greenwell Springs, LA 70739-4347 | 2019-08-15 |
| Street Address |
1211 COOLIDGE BLVD STE 303 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881191393 | Jacob L Breaux, Md, LLC | Internal Medicine | 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503-2636 | 2018-04-11 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992113245 | Unity Healthcare, LLC | Internal Medicine | 1345 Unity Pl Ste 110, Lafayette, IN 47905-5768 | 2014-07-31 |
| 1922269281 | Melanie Montgomery Bienvenu | Internal Medicine | 408 Shelly Dr, Lafayette, LA 70503-4438 | 2008-06-19 |
| 1801901335 | Patrick Antoine Laperouse | Internal Medicine | 439 Heymann Blvd, Lafayette, LA 70503-2616 | 2006-08-21 |
| 1497869929 | Ravish J Mahajan | Internal Medicine | 5 Executive Dr, Suite B1, Lafayette, IN 47905-4867 | 2006-08-19 |
| 1245261049 | Eugene T Stueben | Internal Medicine | 601 W St Mary Blvd, Suite 310, Lafayette, LA 70506 | 2006-07-06 |
| 1235107673 | Krishna Gannamaneni | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2006-03-10 |
| 1447249800 | Jatinder P Ahluwalia | Internal Medicine | 1101 S College Rd, Lafayette, LA 70503-3038 | 2005-10-18 |
| 1922007996 | Rama Marepally | Internal Medicine | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2005-07-20 |
| 1881191393 | Jacob L Breaux, Md, LLC | Internal Medicine | 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503-2636 | 2018-04-11 |
| 1528430246 | Unity Healthcare, LLC | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2015-10-21 |
| 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.