MATERNAL FETAL MEDICINE OF ACADIANA (NPI# 1770587248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770587248 |
| Entity Type | Organization |
| Organization Name | MATERNAL FETAL MEDICINE OF ACADIANA |
| Practice Address |
105 Corporate Blvd Lafayette LA 70508-3850 |
| Mailing Address |
Po Box 51742 Lafayette LA 70505-1742 |
| Practice Telephone | 3375939099 |
| Practice Fax Number | 3379484392 |
| Mailing Telephone | 3375939099 |
| Mailing Fax Number | 3379484392 |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2008-10-31 |
| Authorized Official Name | PAUL K. DIBBS (OWNER) |
| Authorized Official Telephone | 3379421151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
11220R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1447757 | 05 |
| Street Address |
105 CORPORATE BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154880128 | Sabrina Darbonne | Nurse Practitioner | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2019-03-18 |
| 1922107333 | Mary Najwa Dibbs | Counselor | 105 Corporate Blvd, Lafayette, LA 70508 | 2006-09-22 |
| 1962492249 | Tiameko Rochelle Overton | Nurse Practitioner | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2005-10-26 |
| 1689678153 | Paul Khaled Dibbs | Obstetrics & Gynecology | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2005-06-11 |
| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330353 | Threvia West | Obstetrics & Gynecology | 4704 Ambassador Caffery Pkwy Ste 301, Lafayette, LA 70508-6908 | 2005-07-20 |
| 1639276850 | Acadiana Maternal Fetal Medicine Apmc | Obstetrics & Gynecology | 4630 Ambassador Caffery Pkwy, Ste 204, Lafayette, LA 70508-6949 | 2006-09-20 |
| 1174503569 | Perry Scott Barrilleaux | Obstetrics & Gynecology | 4630 Ambassador Caffery Pkwy, Suite 204, Lafayette, LA 70508-6949 | 2006-01-20 |
| 1528048642 | Sheryl Elaine Rodts-palenik | Obstetrics & Gynecology | 4630 Ambassador Caffery Pkwy, Suite 204, Lafayette, LA 70508-6949 | 2006-01-17 |
| 1861485955 | Stephen J Schorr | Obstetrics & Gynecology | 4630 Ambassador Caffery Pkwy, Ste 404, Lafayette, LA 70508-6949 | 2005-08-24 |
| 1689678153 | Paul Khaled Dibbs | Obstetrics & Gynecology | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2005-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801198528 | Lcms Maternal Fetal Medicine, LLC | Obstetrics & Gynecology | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2010-12-01 |
| 1396780193 | Woman's Maternal Fetal Medicine | Obstetrics & Gynecology | 9000 Airline Highway, Suite 370, Baton Rouge, LA 70815-4114 | 2006-06-17 |
| 1649279969 | Marshall S Stamant | Obstetrics & Gynecology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2005-07-19 |
| 1386643609 | Mark G Newman | Obstetrics & Gynecology | 9000 Airline Hwy, Ste. 370, Baton Rouge, LA 70815-4114 | 2005-07-19 |
| 1982950648 | Pamela M Simmons | Obstetrics & Gynecology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2012-07-31 |
| 1457684995 | Thibodaux Regional Network Development Corporation | Obstetrics & Gynecology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2009-09-16 |
| 1871728956 | Wk Regional Perinatal Group | Obstetrics & Gynecology | 2508 Bert Kouns Industrial Loop, Suite 210, Shreveport, LA 71118-3133 | 2009-05-19 |
| 1023227915 | Southwest Louisiana Hospital Association | Obstetrics & Gynecology | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-05-21 |
| 1508942715 | Paul Ronald Clisham | Obstetrics & Gynecology | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-31 |
| 1699868471 | Gabriella Pridjian | Obstetrics & Gynecology | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-02 |
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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.