Organization Active NPI

Paul H. Gulotta, Jr., M.D., a.P.M.C.

  • Interventional Cardiology Physician
  • New Iberia, LA
National Provider Identifier
1154599983
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
017276 Issued in LA
Legal business name
PAUL H. GULOTTA, JR., M.D., A.P.M.C.
Practice address
2313 E Main St
Suite C
New Iberia, LA 70560-4091
Phone
(337) 364-1734
Fax
(337) 364-4717
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Paul Henry Gulotta Jr., M.D.
Title
Owner
Phone
(337) 364-1734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 017276 LA Primary

Addresses

Primary practice location

2313 E Main St
Suite C
New Iberia, LA 70560-4091

Mailing address

2313 E Main St
Suite C
New Iberia, LA 70560-4091
Phone (337) 364-1734

Other identifiers 1

IdentifierTypeStateIssuer
1351989MedicaidLA

National Provider Directory

National Provider Directory

Locations

2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1154599983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 E MAIN ST",
            "address_2": "SUITE C",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604091",
            "telephone_number": "337-364-1734",
            "fax_number": "337-364-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 E MAIN ST",
            "address_2": "SUITE C",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604091",
            "telephone_number": "337-364-1734",
            "fax_number": "337-364-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H. GULOTTA, JR., M.D., A.P.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "GULOTTA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-364-1734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "017276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1351989",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.