PEDIATRIC GROUP OF ACADIANA, LLC (NPI# 1477027894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477027894 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GROUP OF ACADIANA, LLC |
| Practice Address |
120 N Carolina St New Roads LA 70760-3604 |
| Mailing Address |
401 Youngsville Hwy Ste 100 Lafayette LA 70508-5173 |
| Practice Telephone | 3372565111 |
| Mailing Telephone | 3372565111 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | ALEC MOYER (BUSINESS MANAGER) |
| Authorized Official Telephone | 3372565111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oxbow Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| 1588138903 | Pediatric Group of Acadiana, LLC | Clinic/Center | 12713 Water Way, Maurepas, LA 70449-1200 | 2019-01-18 |
| 1255941829 | Pediatric Group of Acadiana, LLC | Clinic/Center | 555 Lakes Blvd, Breaux Bridge, LA 70517-3240 | 2020-08-07 |
| 1922283225 | Pediatric Group of Acadiana, LLC | Specialist | 1119 N Main St, Saint Martinville, LA 70582-3513 | 2008-01-04 |
| 1487839783 | Pediatric Group of Acadiana, LLC | Specialist | 520 N Lewis St, Suite 202, New Iberia, LA 70563-2094 | 2008-01-04 |
| 1265499628 | Pediatric Group of Acadiana, LLC | Specialist | 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 | 2006-04-28 |
| Street Address |
120 N CAROLINA ST |
| City | NEW ROADS |
| State | LA |
| Zip Code | 70760-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164899431 | Ken Brown | Counselor | 120 N Carolina St, New Roads, LA 70760-3604 | 2015-08-21 |
| 1740654540 | Jocelyn Williams | Counselor | 120 N Carolina St, New Roads, LA 70760 | 2015-11-17 |
| 1891166872 | Angela Louis | Counselor | 120 N Carolina St, New Roads, LA 70760 | 2015-10-15 |
| 1154792299 | Myra Odom-betz | Counselor | 120 N Carolina St, New Roads, LA 70760-3604 | 2015-10-15 |
| 1790156974 | Iryn Butler | Counselor | 120 N Carolina St, New Roads, LA 70760-3604 | 2015-10-13 |
| 1114398781 | Nastashia Hicks | Counselor | 120 N Carolina St, New Roads, LA 70760-3604 | 2015-10-08 |
| 1669842829 | Jeffery Parker | Counselor | 120 N Carolina St, New Roads, LA 70760 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417417932 | Talana Butler | Counselor | 8637 Pecan Drive East, New Roads, LA 70760 | 2019-03-21 |
| 1689138018 | Innis Community Health Center, Inc | Clinic/Center | 8434 Pointe Coupee Road, New Roads, LA 70760 | 2019-01-30 |
| 1790156073 | Erica Noel Kimble | Case Manager/Care Coordinator | 1919 Hospital Rd., New Roads, LA 70760 | 2015-10-13 |
| 1497125462 | Deanderia D Gremillion | Counselor | 1919 A Hospital Rd, New Roads, LA 70760 | 2015-10-02 |
| 1720458961 | Lacie Ourso Kemp | Case Manager/Care Coordinator | 1919 Hospital Road, Ste A, New Roads, LA 70760 | 2015-09-30 |
| 1093184467 | Pointe Coupee Council On Aging | Non-emergency Medical Transport (VAN) | 2112 False River Drive, New Roads, LA 70760 | 2015-09-16 |
| 1417154766 | Robin Diane Moeller | Counselor | 112 W. Main Street, New Roads, LA 70760 | 2007-06-29 |
| 1851503890 | Toni Guerin | Speech-Language Pathologist | 142 New Roads St., New Roads, LA 70760 | 2007-05-03 |
| 1295955458 | Pointe Coupee Parish Schools | Clinic/Center | 1662 La Hwy. 1, New Roads, LA 70760 | 2007-04-27 |
| 1861617664 | Kevin D Flint | Dentist | 282 Hospital Road, New Roads, LA 70760 | 2007-04-16 |
| Find all providers in zip 70760 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942155 | Clhg-ville Platte LLC | Clinic/Center | 804 E. Main Street, Ville Platte, LA 70586 | 2020-11-06 |
| 1568062446 | Lhcg Clxix, LLC | Clinic/Center | 821 N Union St, Opelousas, LA 70570-6313 | 2020-10-29 |
| 1760089791 | Blanchard Medical | Clinic/Center | 5948 N Market St, Shreveport, LA 71107-2017 | 2020-10-02 |
| 1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDIATRIC GROUP OF ACADIANA, LLC.
| 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.