Organization Active NPI

Womens & Childrens Pediatric Hematology - Oncology Center LLC

  • Pediatric Hematology & Oncology Physician
  • Lafayette, LA
National Provider Identifier
1013126408
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
WOMENS & CHILDRENS PEDIATRIC HEMATOLOGY - ONCOLOGY CENTER LLC
Practice address
4630 Ambassador Caffery Pkwy
Suite 414
Lafayette, LA 70508-6949
Phone
(337) 521-9239
Fax
(337) 521-9268
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Robert J. Lagesse
Title
Vice President
Phone
(615) 373-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0207X Primary

Addresses

Primary practice location

4630 Ambassador Caffery Pkwy
Suite 414
Lafayette, LA 70508-6949

Mailing address

4630 Ambassador Caffery Pkwy
Suite 414
Lafayette, LA 70508-6949
Phone (337) 521-9239

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1013126408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 414",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086949",
            "telephone_number": "337-521-9239",
            "fax_number": "337-521-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 414",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086949",
            "telephone_number": "337-521-9239",
            "fax_number": "337-521-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS & CHILDRENS PEDIATRIC HEMATOLOGY - ONCOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "LAGESSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-373-7600",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.