NPIMap

Organization Active NPI

Gulf Regional Occupational Medicine Center of Acadiana

Doing business as Gulf Regional Occmed & Walk In Clinic

  • Family Medicine Physician
  • Abbeville, LA
National Provider Identifier
1083648018
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M.D.012239 Issued in LA
Legal business name
GULF REGIONAL OCCUPATIONAL MEDICINE CENTER OF ACADIANA
Doing business as
Gulf Regional Occmed & Walk In Clinic
Practice address
121 E St Victor St
Abbeville, LA 70510
Phone
(337) 893-0810
Fax
(337) 893-0890
NPI assigned
Jul 10, 2006
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Mrs. Myriam D Hutchinson, M.D.NPI 1396771846
Title
Manager/Owner
Phone
(337) 422-6206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.A20081.RX LA
Emergency Medicine Physician 207P00000X MD.012239 LA
Family Medicine Physician 207Q00000X M.D.012239 LA Primary
Internal Medicine Physician 207R00000X MD.012239 LA

Addresses

Primary practice location

121 E St Victor St
Abbeville, LA 70510

Mailing address

121 E St Victor St
Abbeville, LA 70510
Phone (337) 893-0810

Other names 1

  • Gulf Regional Occmed & Walk In Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061002000243 LA Part B Supplier - Clinic/Group Practice 6406851146 Receives reassigned benefits from 4 practitioners
Practice locations: Abbeville, LA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • GWF Investments, LLC.

    dba Healthremede Family Walk-in Occupational Med Wellness Center

    • Primary Care Clinic/Center
    • Baton Rouge, LA
    • NPI 1316115678

    Member Of

    NPD member

Locations

121 E Saint Victor St
Abbeville, LA 70510
Phone (337) 893-0810

Practitioners & affiliated clinicians

Practitioners 7

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1083648018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E ST VICTOR ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-893-0810",
            "fax_number": "337-893-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E ST VICTOR ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-893-0810",
            "fax_number": "337-893-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF REGIONAL OCCUPATIONAL MEDICINE CENTER OF ACADIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "337-422-6206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.A20081.RX",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.012239",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "M.D.012239",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.012239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Regional Occmed & Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.