Active NPI
Paul H. Gulotta, Jr., M.D., a.P.M.C.
- Interventional Cardiology Physician
- New Iberia, LA
National Provider Identifier
1154599983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 017276
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1351989 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.