Andre Keath Perron, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

009981 Issued in LA

Practice address

1216 Camellia Blvd
Lafayette, LA 70508-6667

Phone

(337) 769-0069

Fax

(337) 769-0068

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Our Lady of Lourdes Regional Medical Center

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1538181128
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1124026802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62600",
            "address_2": "DEPT 1721",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701622600",
            "telephone_number": "337-706-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 CAMELLIA BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086667",
            "telephone_number": "337-769-0069",
            "fax_number": "337-769-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRON",
        "first_name": "ANDRE",
        "middle_name": "KEATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "009981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100943",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chasity Perrodin
• Jacory Perrodin
• Jean-Paul Andre' Perrodin, P.T.
• Tori Lamson Perrodin, FNP-BC
• Adrian Michael Perron, LAC #1297 LOUISIANA
• Perry Chiropractic Clinic, LLC
• Destinee Nikole Perry, BCBA,LBA
• Dorothy Denise Perry, N.P
• Jennie Lee Perry, D.C.
• Melinda Delesse Pickens Perry, LCSW

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, 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 Feb 20, 2013; 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.