DR. KENNETH J. CHAMPAGNE


Address: 102 Drury Ln, Lafayette, LA 70508-5702
Phone: 3372330219

DR. KENNETH J. CHAMPAGNE (NPI# 1740284454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740284454
Entity Type Individual
Full Name DR. KENNETH J. CHAMPAGNE
Credential M.D.
Practice Address 102 Drury Ln
Lafayette
LA 70508-5702
Practice Telephone 3372330219
Practice Fax Number 3372332418
Mailing Telephone 3372330219
Mailing Fax Number 3372332418
Enumeration Date 2005-06-09
Last Update Date 2019-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery MD.017238 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1396681 05
LA RAILROAD MEDICARE 280000189 01

Office Location

Street Address 102 DRURY LN
City LAFAYETTE
State LA
Zip Code 70508-5702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548784523 Bradley P Champagne, Md, LLC Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2017-08-01
1578858288 Bradley Paul Champagne Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2011-06-10
1245440577 Matthew B Boudreaux Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2007-05-23
1912967316 Kenneth J. Champagne, M.d., Apmc Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2006-03-28

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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
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205124955 Matthew B. Boudreaux, M.d., L.L.C. Colon & Rectal Surgery 1103 W University Ave, Lafayette, LA 70506-3462 2011-07-15
1548784523 Bradley P Champagne, Md, LLC Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2017-08-01
1932655073 Surgone, PC Colon & Rectal Surgery 150 Old Laramie Trl E, Suite 130, Lafayette, CO 80026-7018 2016-08-29
1093070476 Michael F Horaist, M.d. LLC Colon & Rectal Surgery 1103 W University Ave, Lafayette, LA 70506-3462 2012-07-11
1578858288 Bradley Paul Champagne Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2011-06-10
1922218239 Michael F Horaist Colon & Rectal Surgery 200 Beaullieu Dr, Bldg 3b, Lafayette, LA 70508-7230 2007-05-23
1245440577 Matthew B Boudreaux Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2007-05-23
1912967316 Kenneth J. Champagne, M.d., Apmc Colon & Rectal Surgery 102 Drury Ln, Lafayette, LA 70508-5702 2006-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245640291 Bryan Cross Colon & Rectal Surgery 2495 Shreveport Hwy (va Medical Center), Mail Code 112, Pineville, LA 71360 2014-04-29
1962792291 Matthew David Zelhart Colon & Rectal Surgery 3100 Galleria Dr Ste 303, Metairie, LA 70001-2196 2011-04-07
1487970778 Chad E Lewis Md A Professional Medical Corporation Colon & Rectal Surgery 812 Broadway St., Minden, LA 71055-3330 2010-04-13
1003859141 Andrew M Werner Colon & Rectal Surgery 1811 E Bert Kouns Ste 430, Shreveport, LA 71105 2006-06-14
1881659761 Jeffrey F Griffin Colon & Rectal Surgery 3100 Galleria Dr, Ste 303, Metairie, LA 70001-2196 2006-04-20
1598185118 Elyse Bevier-rawls Colon & Rectal Surgery 1542 Tulane Ave Rm 734, New Orleans, LA 70112-2865 2014-04-22
1609175348 Nathan Hite Colon & Rectal Surgery 7777 Hennessy Blvd Ste 206, Baton Rouge, LA 70808-4363 2011-03-21
1396063244 Joseph Marrazzo, IIi, Md, Apmc Colon & Rectal Surgery 501 Medical Center Dr, Suite 410, Alexandria, LA 71301-8124 2010-05-16
1598908253 William Forrest Johnston Colon & Rectal Surgery 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2009-04-10
1922254002 Joann E Warrick Colon & Rectal Surgery 3217 Mabel St, Shreveport, LA 71103 2008-08-08
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Competitor

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City LAFAYETTE
Zip Code 70508

Improve Information

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Dataset Information

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.

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