Women'S & Children'S Pediatric Orthopedic Center, LLC

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

Legal business name

WOMEN'S & CHILDREN'S PEDIATRIC ORTHOPEDIC CENTER, LLC

Practice address

4630 Ambassador Caffery Pkwy
Suite 408
Lafayette, LA 70508-6949

Phone

(337) 993-7391

Fax

(337) 993-7394

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert J Lagesse

Title

Vice President

Phone

(504) 988-7044

Specialties & licenses 1

Addresses

Practitioners 2

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

• Gabriel L Dersam, MD

  • Pediatric Orthopaedic Surgery Physician
  • Lafayette, LA
  • NPI 1487844650
  NPD (past)
• Shea Ledoux Hare, PA-C

  • Physician Assistant
  • Lake Charles, LA
  • NPI 1215182142
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1124205372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 408",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086949",
            "telephone_number": "337-993-7391",
            "fax_number": "337-993-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 408",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086949",
            "telephone_number": "337-993-7391",
            "fax_number": "337-993-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S & CHILDREN'S PEDIATRIC ORTHOPEDIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "LAGESSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "504-988-7044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisdom Healthcare Service LLC
• Joan C Wojak, M.D.
• Erica Wolf, LPC
• Taylor Brook Wolf, FNP
• Nicole Carroll Wolfe, OT
• Women'S and Children'S Pathology Services
• Women'S Health and Treatment Center of Acadiana, LLC
• Women'S Healthcare Associates of Lafayette, LLC
• Womens & Childrens Pediatric Hematology - Oncology Center LLC
• Womens Clinic of Acadiana LLC

• Pediatric Orthopaedic Surgery Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatric Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.