THIBODAUX ORTHOPAEDIC AND SPORTS MEDICINE CLINIC (NPI# 1922194232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922194232 |
| Entity Type | Organization |
| Organization Name | THIBODAUX ORTHOPAEDIC AND SPORTS MEDICINE CLINIC |
| Practice Address |
525 Saint Mary St Thibodaux LA 70301-2627 |
| Practice Telephone | 9854466284 |
| Mailing Telephone | 9854466284 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | NEIL J MAKI (PRESIDENT) |
| Authorized Official Telephone | 9854466284 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 013892 | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1446611 | 05 |
| Street Address |
525 SAINT MARY ST |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287968 | Neil James Maki | Orthopaedic Surgery | 525 Saint Mary St, Thibodaux, LA 70301-2627 | 2005-10-04 |
| 1619327087 | David R Kesterson | Physician Assistant | 525 Saint Mary St, Thibodaux, LA 70301-2627 | 2016-06-16 |
| 1790115772 | Thibodaux Regional Network Development Corporation | Orthopaedic Surgery | 525 Saint Mary St, Thibodaux, LA 70301-2627 | 2013-11-12 |
| 1659670677 | Edward L Smith | Physical Therapist | 525 Saint Mary St, Thibodaux, LA 70301-2627 | 2011-03-16 |
| 1982796991 | Nicole Orgeron Bourgeois | Physician Assistant | 525 Saint Mary St, Thibodaux, LA 70301 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366527756 | Nano K Zeringue | Specialist | 900 Canal Blvd Ste 3, Thibodaux, LA 70301-4506 | 2006-10-26 |
| 1831209824 | David H Borne | Specialist | 506 N Acadia Rd, Thibodaux, LA 70301-4862 | 2006-08-30 |
| 1144267378 | Wayne Joseph Pharo | Specialist | 400 N Acadia Rd, Thibodaux, LA 70301-4856 | 2006-05-31 |
| 1770542136 | Henry C Mckowen | Specialist | 1105 Audubon Ave, Suite A, Thibodaux, LA 70301-4940 | 2006-03-22 |
| 1336142439 | James M. Schweitzer | Specialist | 608 N Acadia Rd, Thibodaux, LA 70301-4847 | 2005-05-23 |
| 1285005967 | Prevention Plus of Thibodaux LLC | Specialist | 905 Canal Blvd, Thibodaux, LA 70301-4505 | 2015-10-07 |
| 1215214366 | Cowen Clinic for Rehabilitation Medicine, Apmc | Specialist | 604 N Acadia Rd, Suite 100, Thibodaux, LA 70301-4897 | 2011-11-03 |
| 1215088513 | Leslie John Daigle | Specialist | 808 Bayou Ln, Thibodaux, LA 70301-4906 | 2007-01-15 |
| 1699823450 | Advanced Southern Surgical | Specialist | 604 N Acadia Rd, Suite 406, Thibodaux, LA 70301-4847 | 2007-01-08 |
| 1790845287 | Louisiana Brain & Spine Clinic, II,llp | Specialist | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4847 | 2006-12-12 |
| Find all providers in THIBODAUX | ||||
Please comment or provide details below to improve the information on THIBODAUX ORTHOPAEDIC AND SPORTS MEDICINE CLINIC.
| 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.