Houma Orthopedic Clinic AMC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

HOUMA ORTHOPEDIC CLINIC AMC

Practice address

107 Maryland Dr
Luling, LA 70070-2163

Phone

(985) 868-1540

Fax

(985) 873-2968

NPI assigned

Nov 19, 2025

Organization subpart

No

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

Authorized official

Name

Shawn Templet

Title

Controller

Phone

(985) 868-1540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Houma Orthopedic Clinic AMC

  • Orthopaedic Surgery Physician
  • Houma, LA
  • NPI 1215940929

  4183683923

  Same PAC ID

Tax ID family

Houma Orthopedic Clinic AMC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Houma Orthopedic Clinic

  • Specialist
  • Houma, LA
  • NPI 1790123537
  NPD tax ID
• Houma Orthopedic Clinic AMC

  • Orthopaedic Surgery Physician
  • Lutcher, LA
  • NPI 1073436945
  NPD tax ID
• Houma Orthopedic Clinic/Open MRI

  • Nurse Practitioner
  • Houma, LA
  • NPI 1508277294
  NPD tax ID

Locations

Practitioners 13

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

• Nicole Orgeron Bourgeois, PA-C

  • Physician Assistant
  • Thibodaux, LA
  • NPI 1982796991
  NPD
• Jyra Dark, PT, DPT

  • Physical Therapist
  • Houma, LA
  • NPI 1407605488
  NPD
• Claire David, DPT

  • Physical Therapist
  • Houma, LA
  • NPI 1780272401
  NPD
• Casey W Monica, LOTR

  • Occupational Therapist
  • Houma, LA
  • NPI 1225479272
  NPD
• Taylor Michelle Tanner, PA-C

  • Physician Assistant
  • Gray, LA
  • NPI 1518566025
  NPD
• Tyler Tewilliager, DPM

  • Podiatrist
  • Houma, LA
  • NPI 1295230118
  NPD
• Reagan Bryanna Verret, MHS, PA-C

  • Physician Assistant
  • Houma, LA
  • NPI 1942063219
  NPD
• Barton Lloyd Wax, M.D.

  • Orthopaedic Hand Surgery Physician
  • Houma, LA
  • NPI 1912197575

  Orthopaedic Surgery

  NPD
• Kentron Markese Gibson, DPT

  • Physical Therapist
  • Tupelo, MS
  • NPI 1669266904
  NPD
• Gabrielle Aline Hodson, OT

  • Occupational Therapist
  • Flowood, MS
  • NPI 1437970936
  NPD
• Dayla Taylor, DPT

  • Physical Therapist
  • Houston, TX
  • NPI 1386479368
  NPD
• Miranda P White, DPT

  • Physical Therapist
  • Tupelo, MS
  • NPI 1033913587
  NPD

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1033070180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604691",
            "telephone_number": "985-868-1540",
            "fax_number": "985-873-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MARYLAND DR",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700702163",
            "telephone_number": "985-868-1540",
            "fax_number": "985-873-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUMA ORTHOPEDIC CLINIC AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "TEMPLET",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "985-868-1540"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mindy Gaubert Hymel, PA-C
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• J David Brannen DDS
• Tricia Jaquillard

• Orthopaedic Surgery Physician in Luling, LA
• Providers in Luling, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.