| Gastroenterology Clinic Of Acadiana Llc | |
|
1211 Coolidge Blvd Suite 303 Lafayette LA 70503-2636 | |
| (337) 232-6697 | |
| (337) 232-3147 |
| Full Name | Gastroenterology Clinic Of Acadiana Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 Coolidge Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Stephen G Abshire (CEO) |
| Authorized Official Contact | 3372326697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Clinic Of Acadiana Llc 1211 Coolidge Blvd Suite 303 Lafayette LA 70503-2636 Ph: (337) 232-6697 | Gastroenterology Clinic Of Acadiana Llc 1211 Coolidge Blvd Suite 303 Lafayette LA 70503-2636 Ph: (337) 232-6697 |
| NPI Number | 1841363512 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 10/21/2009 |
| Medicare PECOS PAC ID | 8325063563 |
|---|---|
| Medicare Enrollment ID | O20051007000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841363512 | NPI | - | NPPES |
| 1443085 | Medicaid | LA | |
| 826013977 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Stephen G Abshire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992899470 PECOS PAC ID: 1759304975 Enrollment ID: I20070329000611 |
| Provider Name | James N Arterburn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538253034 PECOS PAC ID: 1759485873 Enrollment ID: I20070329000621 |
| Provider Name | Jacque F Noel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558371450 PECOS PAC ID: 8527157106 Enrollment ID: I20071204000837 |
| Provider Name | Susan H Miedecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821103870 PECOS PAC ID: 3678657434 Enrollment ID: I20080303000779 |
| Provider Name | Sylvia M Oats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194966622 PECOS PAC ID: 1052503596 Enrollment ID: I20101004000092 |
| Provider Name | Cynthia Kyra Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629412069 PECOS PAC ID: 6204054182 Enrollment ID: I20140908000539 |
| Provider Name | Eric P Trawick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699979187 PECOS PAC ID: 5698917128 Enrollment ID: I20141002001659 |
| Provider Name | Jacob R Karr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790919173 PECOS PAC ID: 0648490524 Enrollment ID: I20150715000685 |
| Provider Name | Jacob L Breaux |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437416617 PECOS PAC ID: 0042434961 Enrollment ID: I20180807001887 |
| Provider Name | Anne Marie Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891386561 PECOS PAC ID: 9638585060 Enrollment ID: I20210310001669 |
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