DR. EDWARD W DAUTERIVE JR. (NPI# 1538151451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538151451 |
| Entity Type | Individual |
| Full Name | DR. EDWARD W DAUTERIVE JR. |
| Credential | MD |
| Practice Address |
1100 Andre St New Iberia LA 70563-2159 |
| Mailing Address |
1100 Andre St. Ste. 101 New Iberia LA 70563-2159 |
| Practice Telephone | 3373699309 |
| Practice Fax Number | 3373658455 |
| Mailing Telephone | 3373699309 |
| Mailing Fax Number | 3373658455 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 014729 | LA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
014729 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1339334 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720302730 | Edward Weeks Dauterive IIi | Internal Medicine | 58515 Pearl Acres Rd, Slidell, LA 70461-5423 | 2010-03-19 |
| Street Address |
1100 ANDRE ST |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717555 | Christa Hardy Swiger | Nurse Anesthetist, Certified Registered | 1100 Andre St, Suite 300, New Iberia, LA 70563-2159 | 2005-08-15 |
| 1790100980 | Christopher Michael Feldman | Dentist | 1100 Andre St, Suite 205, New Iberia, LA 70563-2159 | 2014-02-24 |
| 1710289970 | Andrew F. Clarke, LLC | Internal Medicine | 1100 Andre St, Suite 204, New Iberia, LA 70563-2159 | 2010-11-22 |
| 1003069105 | Robert S. Lewis, Md, LLC | Internal Medicine | 1100 Andre St, Suite 201, New Iberia, LA 70563-2159 | 2008-11-03 |
| 1396911558 | Progressive Acute Care Physician Services Dauterive LLC | Surgery | 1100 Andre St, Suite 101, New Iberia, LA 70563-2159 | 2008-05-07 |
| 1356537427 | Jonathan Stein, Md, Apmc | Internal Medicine | 1100 Andre St, Suite 205, New Iberia, LA 70563-2159 | 2007-09-21 |
| 1427191790 | Edward J Wren IIi | Anesthesiology | 1100 Andre St, Suite 300, New Iberia, LA 70563-2159 | 2007-02-15 |
| 1659444701 | Gillian Redlich | Pathology | 1100 Andre St, Suite 100, New Iberia, LA 70563-2159 | 2006-11-16 |
| 1841363108 | Monty Joseph Rizzo | Otolaryngology | 1100 Andre St, Ste 100, New Iberia, LA 70563-2159 | 2006-11-16 |
| 1740353887 | Lisa D. Altmann | Pathology | 1100 Andre St, Suite 100, New Iberia, LA 70563-2159 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| Find all providers in zip 70563 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159790 | Cardiovascular Specialties of Louisiana LLC | Surgery | 3311 Prescott Rd Ste 312, Alexandria, LA 71301-3984 | 2020-06-20 |
| 1578942512 | Southern Vascular Associates LLC | Surgery | 127 Queensberry Dr, Lafayette, LA 70508-5421 | 2015-05-22 |
| 1821330093 | Laurel Hadley Hastings | Surgery | 7777 Hennessy Blvd Ste 1008, Baton Rouge, LA 70808 | 2013-03-26 |
| 1598001687 | Rodric Marsh Yeager | Surgery | 7717 Creswell Rd, 46, Shreveport, LA 71106-6000 | 2012-12-18 |
| 1730410408 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave Fl 3, Baton Rouge, LA 70809-3720 | 2010-01-20 |
| 1588993679 | Vascular Access Center of North Shore Louisiana | Surgery | 915 South Harrison Street, Covington, LA 70433 | 2009-12-18 |
| 1174624712 | Jon V. Schellack, M.d. (a Professional Medical Corporation) | Surgery | 5425 Brittany Dr # B, Baton Rouge, LA 70808-9144 | 2006-09-26 |
| 1003926981 | John Douglas Frusha | Surgery | 8595 Picandy Avenue, Suite 320, Baton Rouge, LA 70809-3675 | 2006-08-30 |
| 1164435475 | Stephen Collier White | Surgery | 1455 E Bert Kouns, Highland Clinic, Apmc, Shreveport, LA 71105 | 2006-08-15 |
| 1285645705 | Claudie Suzanne Mcarthur Sheahan Md | Surgery | 2820 Napoleon Ave Ste 700, New Orleans, LA 70115-8291 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
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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.