SOUTHERN UROLOGY LLC


Address: 1016 Coolidge Blvd, Lafayette, LA 70503-2436
Phone: 3372336665

SOUTHERN UROLOGY LLC (NPI# 1760612865) 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) 1760612865
Entity Type Organization
Organization Name SOUTHERN UROLOGY LLC
Other Organization Name COOLIDGE LOCATION
Practice Address 1016 Coolidge Blvd
Lafayette
LA 70503-2436
Mailing Address Po Box 54028
Lafayette
LA 70505-4028
Practice Telephone 3372336665
Practice Fax Number 3372330327
Mailing Telephone 3372336665
Mailing Fax Number 3372330327
Enumeration Date 2009-07-23
Last Update Date 2010-01-04
Authorized Official Name EDWARD F BREAUX (MANAGING MEMBER)
Authorized Official Telephone 3372336665
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA MEDICARE 5DF66 01
LA 1305308 05

Other Provider/Organization Names

Other Name Type Code
Coolidge Location Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346471174 Southern Urology LLC Urology 4940 Vidrine Rd, Ville Platte, LA 70586-8780 2009-07-28

Office Location

Street Address 1016 COOLIDGE BLVD
City LAFAYETTE
State LA
Zip Code 70503-2436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467540344 Jeannette M Chassaignac Urology 1016 Coolidge Blvd, Lafayette, LA 70503-2436 2006-10-10
1326209628 Edward F. Breaux Md A Professional Corporation Urology 1016 Coolidge Blvd, Lafayette, LA 70503-2436 2008-06-19
1881885937 Jeremy S Speeg Urology 1016 Coolidge Blvd, Lafayette, LA 70503-2436 2007-08-05
1174603757 Scott M Neusetzer Urology 1016 Coolidge Blvd, Lafayette, LA 70503-2436 2006-10-17
1528148111 Neusetzer Medical Corporation Urology 1016 Coolidge Blvd, Lafayette, LA 70503-2436 2006-10-17
1679654925 Urology Associates of Lafayette LLC Urology 1016 Coolidge Blvd, Lafayette, LA 70503-2436 2006-10-17
1659469542 Edward F Breaux Urology 1016 Coolidge Blvd, Lafayette, LA 70503-2436 2006-10-10

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1023654712 Louisiana Cardiac Vascular and Pulmonary Rehab LLC Registered Nurse 2701 Johnston Street, Ste 100, Lafayette, LA 70503 2019-11-18
1972147346 Ryan Christopher Winters Counselor 143 Ridgeway Dr., Lafayette, LA 70503 2019-10-29
1861046112 Lafayette General Medical Center Inc General Acute Care Hospital 1213 Coolidge Street, Lafayette, LA 70503 2019-07-25
1770041295 Karen R Rue Registered Nurse 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 2019-03-04
1235601766 Frances Chauvin, Dds, LLC Dentist 229 Bendel Rd., Lafayette, LA 70503 2018-12-21
1710456116 Affordable Caregivers, Inc. In Home Supportive Care 515 South College Rd., Suite 125, Lafeyette, LA 70503 2018-11-15
1366911778 Taylor Callais-rusich Counselor 142 Ridgeway Dr., 201, Lafayette, LA 70503 2018-11-14
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881012722 Julio Tian-fa Chong Urology 300 Exempla Cir Ste 250, Lafayette, CO 80026-3392 2014-03-28
1093973984 Charles Bruce Williams Jr. Urology 913 S College Rd Ste 203, Lafayette, LA 70503-3062 2008-05-28
1467540344 Jeannette M Chassaignac Urology 1016 Coolidge Blvd, Lafayette, LA 70503-2436 2006-10-10
1275634107 Jeffrey J Thibodeaux Urology 200-a Energy Parkway, Suite 209, Lafayette, LA 70508 2006-09-25
1851333520 Emilia Ripoll Urology 120 Old Laramie Trail East, Lafayette, CO 80026-5600 2006-06-10
1548810120 Advanced Urology, Pllc Urology 300 Exempla Cir Ste 250, Lafayette, CO 80026-3392 2019-09-16
1528420858 Unity Healthcare, LLC Urology 1345 Unity Pl, Suite 110a, Lafayette, IN 47905-5760 2016-03-25
1750775672 Hyosang Abraham Chiang Urology 280 Exempla Cir, Lafayette, CO 80026-3370 2015-03-28
1417369604 Daniel B Abbott Urology 5177 Mccarty Ln, Lafayette, IN 47905-8764 2014-05-22
1205060175 Jason Bourque Urology 120 Rue Louis Xiv, Lafayette, LA 70508-5739 2009-05-07
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Competitor

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City LAFAYETTE
Zip Code 70503

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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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