Thad Bourque (NPI# 1912093709, PAC ID# 4789763954) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1912093709 |
| PAC ID by PECOS | 4789763954 |
| Professional Enrollment ID | I20080924000225 |
| Full Name | Thad Bourque |
| Organization Legal Name | LSUHN BILLING LLC |
| Address |
2390 W Congress St Lafayette LA 70506-4205 |
| Phone Number | 3372616000 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1991 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0446337802 |
| Number of Group Practice Members | 208 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190006 | UNIVERSITY HOSPITAL & CLINICS |
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| 190259 | LAFAYETTE SURGICAL SPECIALTY HOSPITAL |
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1103 Kaliste Saloom Rd, Suite 200, Lafayette, LA 70508-5784 | 3379881803 | SOUTHERN UROLOGY, LLC |
| 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 3377697779 | SOUTHERN UROLOGY, LLC |
| 2390 W Congress St, Lafayette, LA 70506-4205 | 3372616000 | LSUHN BILLING LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 68% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 83% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 56% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | LSUHN BILLING LLC |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Buzhardt | Obstetrics/gynecology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Allen Roy Pearce | Ophthalmology | Lsuhn Billing LLC | 9032 Perkins Rd, Baton Rouge, LA 70810-1507 |
| Harry A Burglass Jr. | Dermatology | Lsuhn Billing LLC | 1401 N Foster Dr, Baton Rouge, LA 70806-1818 |
| Gregory Fusilier | Gastroenterology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| John M Whitaker | Vascular Surgery | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Heber E Dunaway | Obstetrics/gynecology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Andrew O Montz Jr. | Obstetrics/gynecology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| James Mcneil Jr. | Vascular Surgery | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Serena M Aunon Chancellor | Internal Medicine | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Michael W Stumpf | Internal Medicine | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Street Address |
2390 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip | 70506-4205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Buzhardt | Obstetrics/gynecology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Gregory Fusilier | Gastroenterology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| John M Whitaker | Vascular Surgery | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Heber E Dunaway | Obstetrics/gynecology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Andrew O Montz Jr. | Obstetrics/gynecology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| James Mcneil Jr. | Vascular Surgery | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Serena M Aunon Chancellor | Internal Medicine | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Michael W Stumpf | Internal Medicine | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Shalimar Small | Ophthalmology | Lsuhn Billing LLC | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Bennett B Fontenot | Plastic and Reconstructive Surgery | University Hospital and Clinics, Inc. | 2390 W Congress St, Lafayette, LA 70506-4205 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Frey | General Surgery | 501 W St Mary Blvd, Suite 420, Lafayette, LA 70506 | |
| Raphael J Higginbotham | Nephrology | Kidney Treatment Options Center of Lafayette, LLC | 301 Alcide Dominique Dr, Lafayette, LA 70506-1052 |
| Michael K Liu | Nephrology | Kidney Treatment Options Center of Lafayette, LLC | 301 Alcide Dominique Dr, Lafayette, LA 70506-1052 |
| Danna P Halpin | Clinical Social Worker | 2310 W Saint Mary Blvd, Lafayette, LA 70506-2512 | |
| John J Broussard | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
| Roberta B Schexnailder | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
| Maisie M Hargett | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
| Michael N Sheffield | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
| Amanda H Wallace | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
| Roxanne H Touchet | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
| Find all physicians in zip 70506 | |||
| City | LAFAYETTE |
| Zip Code | 70506 |
| Specialty | UROLOGY |
| City + Specialty | LAFAYETTE + UROLOGY |
Please comment or provide details below to improve the information on Thad Bourque.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.