EDMUND NAGEM (NPI# 1700806049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700806049 |
| Entity Type | Individual |
| Full Name | EDMUND NAGEM |
| Credential | M.D. |
| Practice Address |
5000 Ambassador Caffery Pkwy Bldg 14a Lafayette LA 70508-6984 |
| Practice Telephone | 3374703580 |
| Practice Fax Number | 3374703586 |
| Mailing Telephone | 3374702296 |
| Mailing Fax Number | 3374702019 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RR MEDICARE | 780002059 | 01 |
| LA | 1197505 | 05 |
| Street Address |
5000 AMBASSADOR CAFFERY PKWY BLDG 14A |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344428 | David G Baker | Internal Medicine | 5000 Ambassador Caffery Pkwy, Province Building 1, Lafayette, LA 70508-6984 | 2005-05-23 |
| 1578866778 | Donna Aucoin Ph.d & Associates LLC | Psychologist | 5000 Ambassador Caffery Pkwy, Province Bldg 13, Lafayette, LA 70508-6984 | 2010-12-09 |
| 1093033417 | Amy Leblanc Landry | Nurse Practitioner | 5000 Ambassador Caffery Pkwy, Bldg #1, Lafayette, LA 70508-6984 | 2010-05-10 |
| 1427282284 | Heather Alexis Daigle | Nurse Practitioner | 5000 Ambassador Caffery Pkwy, Bldg #1, Lafayette, LA 70508-6984 | 2009-05-08 |
| 1659535847 | Bradley M Blappert Md | Clinic/Center | 5000 Ambassador Caffery Pkwy, Building 6b, Lafayette, LA 70508-6984 | 2008-07-16 |
| 1306009634 | Vicki Guilbeau | Counselor | 5000 Ambassador Caffery Pkwy, Province, Building 13, Lafayette, LA 70508-6984 | 2008-07-07 |
| 1306021357 | Louisiana Urology Center | Urology | 5000 Ambassador Caffery Pkwy, Bld 16, Lafayette, LA 70508-6984 | 2008-01-08 |
| 1568653087 | Donna Aucoin, Ph.d. & Associates, LLC | Psychologist | 5000 Ambassador Caffery Pkwy, Building 13, Lafayette, LA 70508-6914 | 2007-08-08 |
| 1023225356 | Lafayette Heart Clinic, LLC | Nuclear Medicine | 5000 Ambassador Caffery Pkwy, Province Building 1, Lafayette, LA 70508 | 2007-05-17 |
| 1407903651 | Cardiovascular Clinic LLC | Clinic/Center | 5000 Ambassador Caffery Pkwy, Province Bldg. 14-a, Lafayette, LA 70508-6984 | 2007-01-03 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1346865813 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 588 N Us Highway 287 Ste 204, Lafayette, CO 80026-2615 | 2020-06-10 |
| 1659828606 | Larissa Geleris | Specialist | 3400 Mt Diablo Blvd, Suite 200, Lafayette, CA 94549-3956 | 2016-09-07 |
| 1255781381 | Vernon Valentino Md Apmc | Specialist | 5000 Amb Caffery Pkwy Ste 100, Lafayette, LA 70508-6984 | 2016-06-20 |
| 1770933228 | Allison O'grady | Specialist | 995 S Creasy Ln, Lafayette, IN 47905-4800 | 2016-06-15 |
| 1568816064 | Cecile Marie Picou | Specialist | 114 Greenhaven Dr, Lafayette, LA 70508-6545 | 2016-04-20 |
| 1922438522 | Indiana Wellness, LLC | Specialist | 1221 S Creasy Ln Ste K3, Lafayette, IN 47905-7430 | 2013-11-18 |
| 1073947701 | Onsite Healthcare Solutions, LLC | Specialist | 208 River Oak Cir, Lafayette, LA 70508-6742 | 2013-08-29 |
| 1083964167 | Sheila Kitson Stosick | Specialist | 3253 Judy Ln, Lafayette, CA 94549-4707 | 2012-09-14 |
| 1598030181 | Neuro Diagnostic Monitoring, LLC | Specialist | 106 Amaryllis Dr, Lafayette, LA 70503-3215 | 2012-03-14 |
| 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.