Charles J. Ledoux Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

012736 Issued in LA

Practice address

502 Barrow St
Houma, LA 70360-4606

Phone

(985) 868-4890

Fax

(985) 876-7413

NPI assigned

Jan 6, 2006

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

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1174501316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BARROW ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604606",
            "telephone_number": "985-868-4890",
            "fax_number": "985-876-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BARROW ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604606",
            "telephone_number": "985-868-4890",
            "fax_number": "985-876-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "012736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119985",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Bartholemew Ledet III
• Laton Frye Ledet, LSCW
• Logan Ledet, MD
• Matthew Ledet
• Meredith Winder Ledet
• Shelly Wilson Lee, MPT
• Andrew David Lefevre, CRNA
• Kayla Troxler Lefort
• Bethany M Legendre, PMHNP-BC
• Derek Legendre, PHARMD

• Surgery Physician in Houma, LA
• Providers in Houma, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.