JOEL D THIBODEAUX (NPI# 1972698918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972698918 |
| Entity Type | Individual |
| Full Name | JOEL D THIBODEAUX |
| Credential | M.D. |
| Practice Address |
1701 Oak Park Blvd Lake Charles LA 70601-8911 |
| Mailing Address |
Po Box 3780 Tupelo MS 38803-3780 |
| Practice Telephone | 3374943190 |
| Mailing Telephone | 3188419526 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
N3344 | TX | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
025001 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI NUMBER | 1972698918 | 01 | |
| LA | 1423602 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5323 Harry Hines Blvd, Dallas, TX 753907208 | 2145906598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477817617 | Joel D'aquin Thibodeaux | Social Worker | 10877 Sandringham Ave, Baton Rouge, LA 70815-5255 | 2012-07-03 |
| Street Address |
1701 OAK PARK BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972549855 | Southwest Louisiana Hospital Association | General Acute Care Hospital | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-06-21 |
| 1699386672 | Alexis Batiste | Nurse Anesthetist, Certified Registered | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2020-08-12 |
| 1912530510 | Kathryn Claire Anderson | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2020-02-21 |
| 1902450851 | Jed Michael Guillory | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-07-29 |
| 1598328189 | Joshua Clayton Gray | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-04-18 |
| 1750846663 | Memorial Medical Group, LLC | Family Medicine | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-02-05 |
| 1306331004 | Austin Goings | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-06-25 |
| 1649767724 | Melanie Bousegard White | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-04-16 |
| 1518461706 | Brandon Shea Blanchard | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-03-21 |
| 1790293645 | Lauren Courville | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790834794 | Richard Anthony Sachitano | Pathology | 1910 Oak Park Blvd, Lake Charles, LA 70601-8916 | 2007-01-09 |
| 1740260157 | Paula Ducote Eapen | Pathology | 830 Bayou Pines Dr, The Pathology Laboratory, Lake Charles, LA 70601 | 2006-01-20 |
| 1588985956 | Anna Moorhead Best | Pathology | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2010-06-18 |
| 1720246168 | Amber N. Cockburn | Pathology | 4200 Nelson Rd, Lake Charles, LA 70605-4118 | 2008-05-31 |
| 1518004613 | Carl Gregory Bowling | Pathology | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-01-30 |
| 1104963107 | C Gregory Bowling Md A Professional Medical Corporation | Pathology | 1910 Oak Park Blvd, Lake Charles, LA 70601-8916 | 2007-01-30 |
| 1376582676 | Stephanie Sara Richard | Pathology | 830 Bayou Pines Dr, The Pathology Laboratory, Lake Charles, LA 70601 | 2006-06-05 |
| 1942280359 | John Samuel Van Hoose II | Pathology | 830 Bayou Pines Dr, The Pathology Laboratory, Lake Charles, LA 70601 | 2006-01-20 |
| 1396725719 | Gault Henry Townsend | Pathology | 830 Bayou Pines Dr, The Pathology Laboratory, Lake Charles, LA 70601 | 2006-01-20 |
| 1215917588 | The Pathology Laboratory, Inc. | Pathology | 830 Bayou Pines Dr, Lake Charles, LA 70601 | 2006-01-20 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.