Emergency Group Of St Landry Llc in Lafayette - Physician Assistant
Emergency Group Of St Landry Llc - NPI 1164491320
Emergency Group Of St Landry Llc is a Physician Assistant in Lafayette, Louisiana. Emergency Group Of St Landry Llc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Emergency Group Of St Landry Llc is 1164491320. The last update date is 2022-03-23.
Emergency Group Of St Landry Llc's current location address is 200 Corporate Blvd, Lafayette, Louisiana. You can contact this provider via phone number 8008939698. The mailing address for Emergency Group Of St Landry Llc is 200 Corporate Blvd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Emergency Group Of St Landry Llc |
|---|---|
| Address | 200 Corporate Blvd, Lafayette, Louisiana |
| Phone Number | 8008939698 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF CONT |
|---|---|
| Authorized Official Name | Falk C Lisha |
| Telephone Number | 3376091221 |
NPI Number Detail
| NPI Number | 1164491320 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 200 Corporate Blvd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705083870 |
| Phone Number | 8008939698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1444308 | LA | -- |
Post Comment/ Review Below
What is the Emergency Group Of St Landry Llc's unique identification number?
The Emergency Group Of St Landry Llc has been assigned the NPI (National Provider Identifier) Number 1164491320 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Emergency Group Of St Landry Llc?
The Emergency Group Of St Landry Llc is physically situated at 200 Corporate Blvd, in the city of Lafayette, state of LA, with the postal code 705083870.
What is Emergency Group Of St Landry Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Emergency Group Of St Landry Llc is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164491320 to Emergency Group Of St Landry Llc?
The Emergency Group Of St Landry Llc received its 1164491320 assignment from the Centers for Medicare & Medicaid Services on 2006-03-17.
When was the information pertaining to Emergency Group Of St Landry Llc most recently updated or revised?
The details related to Emergency Group Of St Landry Llc, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-23.
NPI Number: 1598760647
Address: 4631 N Congress Ave Ste 101, West Palm Beach, FL