Individual provider Active NPI

Rodney Severin Florek, M.D.

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1043269343
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
018207 Issued in LA
Practice address
4801 Ambassador Caffery Parkway
Lourdes RMC
Lafayette, LA 70508
Phone
(337) 470-2180
Fax
(337) 470-2180
NPI assigned
May 6, 2006
Last updated
Nov 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 018207 LA Primary

Addresses

Primary practice location

4801 Ambassador Caffery Parkway
Lourdes RMC
Lafayette, LA 70508

Mailing address

4801 Ambassador Caffery Pkwy
Dept of Radiology Lourdes RMC
Lafayette, LA 70508-6917
Phone (337) 470-2180

Other identifiers 3

IdentifierTypeStateIssuer
P00906564OtherLARAILROAD MEDICARE
03480216MedicaidMS
1928445MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018207LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Radiology Associates, Inc Diagnostic Radiology Current Accepting new patients
West Jefferson CT Scan LLC Past Accepting new patients
Medical Imaging Associates of Louisiana, Apm LLC Diagnostic Radiology Past Accepting new patients
Abbeville Diagnosic Center LLC PastSince Nov 1, 2010 Accepting new patients
Precision Radiology Management of Louisiana LLC Diagnostic Radiology Past Accepting new patients
West Jefferson MRI, LLC Past Accepting new patients

Locations

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4520 Wichers Dr
Ste 201
Marrero, LA 70072
Phone (504) 315-1265

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1043269343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "address_2": "DEPT OF RADIOLOGY LOURDES RMC",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-470-2180",
            "fax_number": "337-470-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PARKWAY",
            "address_2": "LOURDES RMC",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-470-2180",
            "fax_number": "337-470-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREK",
        "first_name": "RODNEY",
        "middle_name": "SEVERIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "018207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00906564",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03480216",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928445",
            "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 Nov 17, 2011; 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.