PHILIP JULES FABACHER (NPI# 1922029941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922029941 |
| Entity Type | Individual |
| Full Name | PHILIP JULES FABACHER |
| Credential | MD |
| Practice Address |
Lsu Central Clinic 2390 West Congress Street Lafayette LA 70506 |
| Mailing Address |
1340 Poydras St New Orleans LA 70112-1221 |
| Practice Telephone | 3372616580 |
| Mailing Telephone | 5044121860 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
17821 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1344320 | 05 |
| Street Address |
LSU CENTRAL CLINIC 2390 WEST CONGRESS STREET |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548283484 | Lawrence Obray Broussard Jr. | Internal Medicine | Lsu Central Clinic, 2390 West Congress Street, Lafayette, LA 70506 | 2006-07-25 |
| 1093738940 | Bobby Gene Nevils | Obstetrics & Gynecology | Lsu Central Clinic, 2390 West Congress Street, Lafayette, LA 70506 | 2006-07-25 |
| 1578585295 | Morris Sterling Hoffpauir | Internal Medicine | Lsu Central Clinic, 2390 West Congress Street, Lafayette, LA 70506 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437498771 | Harold Paul Chastant | Internal Medicine | 119 Nickerson Pkwy, Lafayette, LA 70501-6509 | 2013-02-06 |
| 1508131814 | David M Tadin | Internal Medicine | 443 Heymann Blvd Ste B, Lafayette, LA 70503 | 2012-03-20 |
| 1215239413 | Lester L Ducote Jr Md, A Professional Medical Corporation | Internal Medicine | 441a Heymann Blvd, Lafayette, LA 70503 | 2010-11-22 |
| 1497765515 | Acadiana Cardiology | Internal Medicine | 401 St Julien Ave, Lafayette, LA 70506-4621 | 2006-08-09 |
| 1245248632 | Barry Joel Karas | Internal Medicine | 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923 | 2006-08-03 |
| 1770506636 | Mary Kay Thomas | Internal Medicine | Umc Child & Adol. Op Center, 2390 West Congress Street, Lafayette, LA 70506 | 2006-07-25 |
| 1477575983 | Kathleen Lacour Rosson | Internal Medicine | Lsu Family Practice Clinic, 2390 West Congress Street, Lafayette, LA 70506 | 2006-07-24 |
| 1225059249 | Jay Pannathpur Jaikishen | Internal Medicine | 155 Hospital Dr Ste 406, Lafayette, LA 70503-2852 | 2006-07-23 |
| 1477572550 | Adel S. Yaacoub | Internal Medicine | 3900 St. Francis Way, Suite 200, Lafayette, IN 47905-4923 | 2006-07-19 |
| 1225074859 | Mehmood M Patel | Internal Medicine | 401 Saint Julien Ave, Suite 100, Lafayette, LA 70506-4621 | 2006-06-21 |
| 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.