NPIMap

Organization Active NPI

Lafayette Health Ventures Inc

Doing business as Jennings American Legion Hospital Physician Group

  • Anesthesiology Physician
  • Jennings, LA
National Provider Identifier
1063124568
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LAFAYETTE HEALTH VENTURES INC
Doing business as
Jennings American Legion Hospital Physician Group
Practice address
1634 Elton Rd
Jennings, LA 70546-3614
Phone
(337) 289-8944
NPI assigned
Dec 16, 2022
Last updated
Dec 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LAFAYETTE HEALTH VENTURES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Kim Dooley
Title
Coo
Phone
(337) 571-1394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1634 Elton Rd
Jennings, LA 70546-3614

Mailing address

PO Box 919229
Dallas, TX 75391-9229

Other names 1

  • Jennings American Legion Hospital Physician Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000263 LA Part B Supplier - Clinic/Group Practice 9335043074 Receives reassigned benefits from 428 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lafayette Health Ventures Inc24 organizations share this tax ID, including this one
Part of
Lafayette Health Ventures Inc

Other organizations with this tax ID 23

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

View all 23

Locations

2825 Grand Point Hwy
Breaux Bridge, LA 70517
Phone (337) 454-6280

1122 S Bernard Rd
Ste C
Broussard, LA 70518
Phone (337) 703-6476

576 N Avenue G
Crowley, LA 70526
Phone (337) 516-2400

1000 W Pinhook Rd
Ste 201
Lafayette, LA 70503
Phone (337) 237-0650

1000 W Pinhook Rd
Ste 304
Lafayette, LA 70503
Phone (337) 289-9155

115 Audubon Blvd
Lafayette, LA 70503
Phone (337) 289-8933

136 Hospital Dr
Ste 201
Lafayette, LA 70503
Phone (337) 289-8282

4212 W Congress St
Ste 3620
Lafayette, LA 70506
Phone (337) 289-8646

429 Heymann Blvd
Lafayette, LA 70503
Phone (337) 233-6730

459 Heymann Blvd
Lafayette, LA 70503
Phone (337) 237-3637

461 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8646

601 W Saint Mary Blvd
Ste 4
Lafayette, LA 70506
Phone (337) 233-3731

601 W Saint Mary Blvd
Ste 403
Lafayette, LA 70506
Phone (337) 233-3731

103 Centre Sarcelle Blvd
Ste 506
Youngsville, LA 70592
Phone (337) 289-8978

2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765

Practitioners & affiliated clinicians

Practitioners 431

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 431

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1063124568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753919229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 ELTON RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463614",
            "telephone_number": "337-289-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE HEALTH VENTURES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAFAYETTE HEALTH VENTURES INC",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "337-571-1394"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennings American Legion Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.