MR. PAUL W BROUSSARD (NPI# 1609962612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609962612 |
| Entity Type | Individual |
| Full Name | MR. PAUL W BROUSSARD |
| Credential | CRNA |
| Practice Address |
600 N Lewis St New Iberia LA 70560 |
| Mailing Address |
2669 Scenic Dr Alamogordo NM 88310-8700 |
| Practice Telephone | 3373653168 |
| Practice Fax Number | 3373693536 |
| Mailing Telephone | 3373653168 |
| Mailing Fax Number | 3373693536 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01145 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 037524 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1696609 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117788 | Paul D Broussard | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2020-06-05 |
| 1346558210 | Paul Dallas Broussard | Pharmacist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2010-09-14 |
| 1003145988 | Paul Olivier Broussard | Pharmacist | 215 W Hanford Armona Rd, Lemoore, CA 93245-2302 | 2009-12-23 |
| Street Address |
600 N LEWIS ST |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609844265 | Iberia Emergency Group LLC | Physician Assistant | 600 N Lewis St, New Iberia, LA 70563-2043 | 2006-03-09 |
| 1730680919 | Iberia General Hospital & Medical Center | Skilled Nursing Facility | 600 N Lewis St, New Iberia, LA 70563-2043 | 2018-02-23 |
| 1346752938 | Acadian Urgent Care Center, LLC | Clinic/Center | 600 N Lewis St, New Iberia, LA 70563-2043 | 2017-11-03 |
| 1003269093 | Iberia-amg Physical Rehabilitation Hospital, LLC | Rehabilitation Hospital | 600 N Lewis St, 3rd Floor, New Iberia, LA 70563-2043 | 2016-07-14 |
| 1447604475 | Hospital Service District No. 1 of Iberia Parish | Psychiatric Unit | 600 N Lewis St, New Iberia, LA 70563-2043 | 2016-04-15 |
| 1992159925 | Hospital Service District No 1 of Iberia Parish | Rehabilitation Unit | 600 N Lewis St, New Iberia, LA 70563 | 2016-04-15 |
| 1538547732 | Lewis Avenue LLC | Internal Medicine | 600 N Lewis St, New Iberia, LA 70563-2043 | 2015-05-08 |
| 1255718813 | Gpn New Iberia LLC | Emergency Medicine | 600 N Lewis St, New Iberia, LA 70563-2043 | 2015-05-04 |
| 1700292281 | Ellen Declouet Ritch | Nurse Practitioner | 600 N Lewis St, New Iberia, LA 70563-2043 | 2014-07-07 |
| 1245640010 | Nes Louisiana Inc | Emergency Medicine | 600 N Lewis St, New Iberia, LA 70563-2043 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962596635 | John H Bordes Jr. | Nurse Anesthetist, Certified Registered | 729 New Iberia St, New Iberia, LA 70560-5530 | 2006-10-03 |
| 1629036785 | Tracy P Young | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, Yps Anesthesia, New Iberia, LA 70563-2159 | 2006-05-01 |
| 1083685564 | Karly C Haik | Nurse Anesthetist, Certified Registered | 301 Lucerne Dr, 3m Anesthesia, LLC, New Iberia, LA 70563-8976 | 2006-01-31 |
| 1093717555 | Christa Hardy Swiger | Nurse Anesthetist, Certified Registered | 1100 Andre St, Suite 300, New Iberia, LA 70563-2159 | 2005-08-15 |
| 1114208949 | Iberia Anesthesia Associates, L.L.C. | Nurse Anesthetist, Certified Registered | 2309 E Main St Ste 101, New Iberia, LA 70560-4063 | 2011-09-07 |
| 1295023992 | Jean M Karpan | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, New Iberia, LA 70563-2159 | 2011-07-14 |
| 1053625426 | Kendal W Miller | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, Yps - Credentialing, New Iberia, LA 70563-2159 | 2010-07-28 |
| 1790017523 | Angela C Davis | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, Yps - Credentialing, New Iberia, LA 70563-2159 | 2010-02-04 |
| 1740422377 | Casey Ryan Guidry | Nurse Anesthetist, Certified Registered | 600 N Lewis St, New Iberia, LA 70563-2043 | 2009-03-27 |
| 1346488376 | Justin P Arnold | Nurse Anesthetist, Certified Registered | 600 N Lewis St, New Iberia, LA 70563-2043 | 2009-01-29 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
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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.