Acadiana Endoscopy Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

166 Issued in LA

Legal business name

ACADIANA ENDOSCOPY CENTER, INC.

Practice address

1211 Coolidge Blvd
Suite 302
Lafayette, LA 70503-2636

Phone

(337) 289-8249

Fax

(337) 289-8246

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Jacque F Noel, MD

Title

Vice President

Phone

(337) 735-7317

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Endoscopy Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Acadiana Endoscopy Center, Inc.

  • Endoscopy Clinic/Center
  • Lafayette, LA
  • NPI 1326114364

  0648305268

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Acadiana Endoscopy Center, Inc.

  • Endoscopy Clinic/Center
  • Lafayette, LA
  • NPI 1326114364

  O20100320000138

  Same enrollment

Listed as

Lafayette General Endoscopy Center IncCCN 19C0001041

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Lafayette General Medical Center Inc.

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1649408832

  Member Of

  NPD member

Locations

Interoperability endpoints

• Direct secure messaging: lgendocenter@directaddress.net

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Trawick, MD

  • Gastroenterology Physician
  • Lafayette, LA
  • NPI 1699979187

  LA

  Medicare reassignment NPD
• Maneesh Kumar Gupta, M.D.

  • Gastroenterology Physician
  • Castle Rock, CO
  • NPI 1417271420
  NPD
• Richard K. Broussard, M.D.

  • Gastroenterology Physician
  • Lafayette, LA
  • NPI 1639245798
  NPD (past)
• James Patrick Herrington, M.D.

  • Gastroenterology Physician
  • Lafayette, LA
  • NPI 1386710457
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1114035946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 52328",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052328",
            "telephone_number": "337-735-7317",
            "fax_number": "337-988-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD",
            "address_2": "SUITE 302",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-289-8249",
            "fax_number": "337-289-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA ENDOSCOPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "337-735-7317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907871",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LGENDOCENTER@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Coolidge Blvd",
            "address_2": "Suite 302",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705032636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acadiana Endocrinology Clinic LLC
• Acadiana Endodontics
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• Acadiana Family Physicians, Inc., a.P.M.C.
• Acadiana Foot Centers LLC
• Acadiana Gastroenterology Associates, LLC
• Acadiana Health Alliance, LLC.

• All providers in Lafayette, LA
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.