DOUGLAS L. ABADCO, MD, APMC (NPI# 1770681728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770681728 |
| Entity Type | Organization |
| Organization Name | DOUGLAS L. ABADCO, MD, APMC |
| Practice Address |
4540 Ambassador Caffery Pkwy Suite C-130 Lafayette LA 70508-6928 |
| Mailing Address |
Po Box 53223 Lafayette LA 70505-3223 |
| Practice Telephone | 3379882903 |
| Practice Fax Number | 3379882904 |
| Mailing Telephone | 3379882903 |
| Mailing Fax Number | 3379882904 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DOUGLAS L. ABADCO (PRESIDENT) |
| Authorized Official Telephone | 3379882903 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
09390R | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1937843 | 05 |
| Street Address |
4540 AMBASSADOR CAFFERY PKWY SUITE C-130 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319780 | Virginia B Coreil | Pediatrics | 4540 Ambassador Caffery Pkwy, Ste B220, Lafayette, LA 70508-6928 | 2005-07-07 |
| 1609239508 | Rush Medical - Lafayette, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. B110, Lafayette, LA 70508-6928 | 2016-03-30 |
| 1275993388 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. C-110, Lafayette, LA 70508 | 2016-03-02 |
| 1003286998 | Geeta N Dalal Md LLC | Pediatrics | 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 | 2015-10-05 |
| 1316352164 | Rush Medical | General Practice | 4540 Ambassador Caffery Pkwy, Suite B-110, Lafayette, LA 70508-6928 | 2014-06-30 |
| 1285989772 | Lisa M Larochelle | Social Worker | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2012-07-20 |
| 1861794729 | Jessica Broussard Baudoin | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2010-11-29 |
| 1104145507 | Kayla S Fanguy | Counselor | 4540 Ambassador Caffery Pkwy, Bldg. D, Suite B-220, Lafayette, LA 70508-6928 | 2010-05-25 |
| 1285864025 | Reactive Nutrition, LLC | Dietitian, Registered | 4540 Ambassador Caffery Pkwy, C240, Lafayette, LA 70508-6928 | 2009-07-14 |
| 1326274408 | Wendy J Leger | Social Worker | 4540 Ambassador Caffery Pkwy, Suite B-220, Lafayette, LA 70508-6928 | 2009-06-03 |
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| 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 Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1508227604 | Acadiana Allergy, Asthma and Immunology Center, LLC | Clinic/Center | 300 Rue Beauregard Ste F, Lafayette, LA 70508 | 2016-03-16 |
| 1801142906 | Kristy R. Kennedy Md, LLC | Clinic/Center | 1101 S College Rd, Suite 202, Lafayette, LA 70503-3038 | 2012-07-26 |
| 1528331089 | Our Lady of Lourdes Regional | Clinic/Center | 227 Bendel Rd, Suite A, Lafayette, LA 70503-2922 | 2012-02-14 |
| 1215172523 | Colorado Back and Spine Center | Clinic/Center | 380 Empire Rd, Suite 101, Lafayette, CO 80026-2677 | 2008-12-16 |
| 1851581896 | Our Lady of Lourdes Regional Medical Center | Clinic/Center | 3220 Kaliste Saloom Rd, Lafayette, LA 70508-7422 | 2007-07-26 |
| 1548467640 | The Spine Worx LLC | Clinic/Center | 983 S Creasy Ln, Lafayette, IN 47905-4800 | 2007-07-02 |
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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.