NPIMap

Organization Active NPI

Our Lady of Lourdes RMC

Doing business as Michael Vanderlick MD

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1154682094
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OUR LADY OF LOURDES RMC
Doing business as
Michael Vanderlick MD
Practice address
4809 Ambassador Caffery Pkwy
Suite 410
Lafayette, LA 70508-8800
Phone
(337) 470-3109
Fax
(337) 231-6943
NPI assigned
Jun 7, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
OUR LADY OF LOURDES RMCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Mrs. Kim Hebert
Title
Cfo
Phone
(337) 470-2593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Suite 410
Lafayette, LA 70508-8800

Mailing address

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2593

Other names 1

  • Michael Vanderlick MD Doing business as

National Provider Directory

National Provider Directory
Part of
Our Lady of Lourdes RMC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1154682094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-470-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 410",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-470-3109",
            "fax_number": "337-231-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES RMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF LOURDES RMC",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-470-2593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Vanderlick MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.