DR. RICHARD E MATIS (NPI# 1740287481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740287481 |
| Entity Type | Individual |
| Full Name | DR. RICHARD E MATIS |
| Credential | M.D. |
| Practice Address |
4809 Ambassador Caffery Pkwy Suite 200 Lafayette LA 70508-6917 |
| Practice Telephone | 3379888811 |
| Practice Fax Number | 3379888844 |
| Mailing Telephone | 3379888811 |
| Mailing Fax Number | 3379888844 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 013821 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | PALMETTO GBA - RAILROAD M | 080056423 | 01 |
| LA | 1194271 | 05 |
| Street Address |
4809 AMBASSADOR CAFFERY PKWY SUITE 200 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378453 | George A Sobiesk | Podiatrist | 4809 Ambassador Caffery Pkwy, Suite 200, Lafayette, LA 70508-6917 | 2005-07-07 |
| 1891226056 | Our Lady of Lourdes Regional Medical Center, Inc. | Non-Pharmacy Dispensing Site | 4809 Ambassador Caffery Pkwy, Suite 110, Lafayette, LA 70508-8800 | 2017-03-21 |
| 1659820777 | Radiation Oncology Associates of Acadiana, LLP | Radiology | 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508-8800 | 2016-09-30 |
| 1114471612 | Physical Therapy Clinic of Lafayette, LLC | Physical Therapist | 4809 Ambassador Caffery Pkwy, Lafayette, LA 70508-8800 | 2016-08-12 |
| 1154703627 | Melanie Mier Md A Professional Medical Corporation | Internal Medicine | 4809 Ambassador Caffery Pkwy, Suite 410, Lafayette, LA 70508-8802 | 2015-06-22 |
| 1992183305 | Victoria English | Physician Assistant | 4809 Ambassador Caffery Pkwy, Suite 110, Lafayette, LA 70508-8800 | 2015-05-18 |
| 1386031235 | Carmichael's Cashway Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4809 Ambassador Caffery Pkwy, Suite 220, Lafayette, LA 70508-8800 | 2015-04-17 |
| 1740671619 | Prevail Heart Clinic of Lafayette, LLC | Internal Medicine | 4809 Ambassador Caffery Pkwy, Suite 480, Lafayette, LA 70508-8802 | 2015-02-12 |
| 1568863306 | Britni Hebert, M.d., Apmc | Specialist | 4809 Ambassador Caffery Pkwy, Suite 410, Lafayette, LA 70508-8800 | 2014-09-11 |
| 1821421538 | Abigail Theresa Pelafigue | Nurse Practitioner | 4809 Ambassador Caffery Pkwy, Suite 430, Lafayette, LA 70508-8800 | 2013-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 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 |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1013471259 | Courtney Cobb | Family Medicine | 500 Juliette Pl, Lafayette, LA 70506-4571 | 2019-01-22 |
| 1538672993 | Pamela Rene Roeder | Family Medicine | 8196 N 1000 E, Lafayette, IN 47905-9742 | 2017-11-08 |
| 1790297935 | Diamond Medical Group | Family Medicine | 830 Park East Blvd, Lafayette, IN 47905-0778 | 2017-10-27 |
| 1780114074 | Mimi Nguyen | Family Medicine | 4212 W Congress St Ste 1600, Lafayette, LA 70506-6767 | 2017-06-19 |
| 1679922249 | Lafayette Health Ventures, Inc | Family Medicine | 917 W Gloria Switch Road, Lafayette, LA 70507-2309 | 2016-06-06 |
| 1003278854 | Rebecca Lynn Currier Curran | Family Medicine | 2932 Ambassador Caffery Parkway, Lafayette, LA 70506 | 2016-03-22 |
| 1871989244 | Justin Matthew Pratt | Family Medicine | 1630 Rue Du Belier Apt 1307, Lafayette, LA 70506 | 2015-04-12 |
| 1558761973 | A. Elaine Ashby, M.d., Inc. | Family Medicine | 3732 Mt Diablo Blvd Ste 385, Lafayette, CA 94549-3625 | 2014-09-04 |
| 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.