THIBODEAUX MEDICAL CLINIC, LLC (NPI# 1689224321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689224321 |
| Entity Type | Organization |
| Organization Name | THIBODEAUX MEDICAL CLINIC, LLC |
| Practice Address |
1303 Horridge St Vinton LA 70668-4531 |
| Practice Telephone | 3373248060 |
| Practice Fax Number | 3373248061 |
| Mailing Telephone | 3373248060 |
| Mailing Fax Number | 3373248061 |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | MR. DERRICK THIBODEAUX (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3373248060 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1303 HORRIDGE ST |
| City | VINTON |
| State | LA |
| Zip Code | 70668-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659762839 | Derrick Thibodeaux | Nurse Practitioner | 1303 Horridge St, Vinton, LA 70668-4531 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598801565 | Robert S Hays Jr. | Dentist | 2114 West Street, Vinton, LA 70668 | 2007-01-29 |
| 1891851630 | Wendell Keith Quebedeaux | Chiropractor | 1415 Stevenson St, Vinton, LA 70668 | 2006-12-28 |
| 1730225798 | R S Hays IIi | Dentist | 2114 West Street, Vinton, LA 70668 | 2007-01-29 |
| 1750386140 | Lance Waldmeier | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2005-06-14 |
| 1427500115 | Alison Coleman | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2016-10-27 |
| 1912024522 | Valarie Philliber Waldmeier | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2007-03-26 |
| 1316924400 | Calcasieu Cameron Hospital Service District | Clinic/Center | 1611 Hampton St, Vinton, LA 70668-3707 | 2005-12-29 |
| 1518959626 | Calcasieu Multi-handicapped Center, LLC | Intermediate Care Facility, Mentally Retarded | 1710 Mill St, Vinton, LA 70668-3718 | 2005-08-16 |
| 1205189677 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1710 Mill St, Vinton, LA 70668-3718 | 2012-10-22 |
| 1780676890 | Calcasieu Multi-handicapped Center, LLC | Intermediate Care Facility, Mentally Retarded | 1101 Nona St, Vinton, LA 70668-4123 | 2005-08-16 |
| Find all providers in zip 70668 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
| 1750361952 | William John Tanner | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2006-01-23 |
| 1184601247 | Jeffrey M Cater | Family Medicine | 1803 C Ave, Vinton, IA 52349-1691 | 2005-12-29 |
| 1326023391 | Brian W Meeker | Family Medicine | 504 N 9th Ave, Vinton, IA 52349-2254 | 2005-12-13 |
| 1306346176 | St Luke's Jones Regional Medical Center | Family Medicine | 1803 C Ave, Vinton, IA 52349-1691 | 2018-02-18 |
| 1598264350 | Lesley Arthur | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2018-02-07 |
| 1639523327 | Ashlee Perkinson Laughey | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2016-04-19 |
| 1851535355 | Russell P. Slayton | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2009-04-28 |
| 1023216413 | Margaret K Mangold | Family Medicine | 504 N 9th Ave, Vinton, IA 52349-2254 | 2007-07-06 |
| 1619188687 | Richard Miller | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2007-05-24 |
| Find all providers in VINTON | ||||
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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.