Organization Active NPI

Norman E Anseman Jr MD, a Professional Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • Lafayette, LA
National Provider Identifier
1073648499
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
012249 Issued in LA
Legal business name
NORMAN E ANSEMAN JR MD, A PROFESSIONAL MEDICAL CORPORATION
Practice address
1101 S College Rd Ste 206
Lafayette, LA 70503-3038
Phone
(337) 237-3637
Fax
(337) 237-1757
NPI assigned
Feb 23, 2007
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Norman Eugene Anseman Jr., M.D.NPI 1932189974
Title
President
Phone
(337) 237-3637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 012249 LA Primary

Addresses

Primary practice location

1101 S College Rd Ste 206
Lafayette, LA 70503-3038

Mailing address

PO Box 52724
Lafayette, LA 70505-2724
Phone (337) 237-3637

Other identifiers 2

IdentifierTypeStateIssuer
1023329MedicaidLA
DF6182OtherLARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

913 S College Rd
Ste 104
Lafayette, LA 70503
Phone (337) 237-3637

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1073648499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52724",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052724",
            "telephone_number": "337-237-3637",
            "fax_number": "337-237-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S COLLEGE RD STE 206",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033038",
            "telephone_number": "337-237-3637",
            "fax_number": "337-237-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN E ANSEMAN JR MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "ANSEMAN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-237-3637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "012249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023329",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF6182",
            "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 Dec 7, 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.