Our Lady of Lourdes Regional

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13009 Issued in LA

Legal business name

OUR LADY OF LOURDES REGIONAL

Doing business as

John S Thibodeaux MD

Practice address

402 E Edward St
Erath, LA 70533-4114

Phone

(337) 937-5803

Fax

(337) 937-5806

NPI assigned

Jun 4, 2012

Last updated

Oct 16, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

OUR LADY OF LOURDES REGIONALAs reported in NPPES

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

Authorized official

Name

Mrs. Kim Hebert

Title

Cfo

Phone

(337) 470-2593

Specialties & licenses 1

Addresses

Other names 1

• John S Thibodeaux MD Doing business as

Part of

Our Lady of Lourdes Apothecary

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495

  Member Of

  NPD member

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1093076275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-470-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E EDWARD ST",
            "city": "ERATH",
            "state": "LA",
            "postal_code": "705334114",
            "telephone_number": "337-937-5803",
            "fax_number": "337-937-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES REGIONAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF LOURDES REGIONAL",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-470-2593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "13009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John S Thibodeaux MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HNC Group, LLC
• Heather Delcambre Landry, RN IBCLC
• Lauren Grace Lege
• Rochelle J Menard, PHARMD
• Darlene C Meza, RN
• Pediatric Group of Acadiana LLC (Pediatric Group of Acadiana & Family Clinic)
• Jade Rogers, RDN
• Lindsay Mencacci Schexnider, LCSW
• Paul Randall Stutes, RPH
• Rebecca H Suire

• Family Medicine Physician in Erath, LA
• Providers in Erath, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.