NPIMap

Organization Active NPI

Acadiana Radiology Group, Apmc

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1013960160
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ACADIANA RADIOLOGY GROUP, APMC
Practice address
611 Saint Landry St
Lafayette, LA 70506-4627
Phone
(337) 289-2180
Fax
(337) 289-2677
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Victor H Gunderson Jr., M.D.
Title
Client Support Rep/Credentialing
Phone
(337) 289-2180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

611 Saint Landry St
Lafayette, LA 70506-4627

Mailing address

PO Box 52545
Lafayette, LA 70505-2545
Phone (337) 289-2180

Other identifiers 1

IdentifierTypeStateIssuer
1796727MedicaidLA

National Provider Directory

National Provider Directory

Locations

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

204 Energy Pkwy
Spc Hosp
Lafayette, LA 70508
Phone (337) 261-1618

601 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 232-3576

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

Practitioners & affiliated clinicians

Practitioners 11

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1013960160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52545",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052545",
            "telephone_number": "337-289-2180",
            "fax_number": "337-289-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064627",
            "telephone_number": "337-289-2180",
            "fax_number": "337-289-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA RADIOLOGY GROUP, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CLIENT SUPPORT REP/CREDENTIALING",
        "authorized_official_telephone_number": "337-289-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796727",
            "state": "LA"
        }
    ],
    "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 Mar 28, 2008; 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.