Individual provider Active NPI

James Burton Godchaux Sr., M.D.

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1174506182
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
011929 Issued in LA
Practice address
856 Kaliste Saloom Rd Ste B
Lafayette, LA 70508-4395
Phone
(337) 593-9500
Fax
(337) 593-0909
NPI assigned
Nov 23, 2005
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 011929 LA Primary

Addresses

Primary practice location

856 Kaliste Saloom Rd Ste B
Lafayette, LA 70508-4395

Mailing address

P.O. Box 974150
Dallas, TX 75397-4150
Phone (337) 593-9500

Other identifiers 1

IdentifierTypeStateIssuer
1164798MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John E Cobb, MD, Apmc Past Accepting new patients
Envision Imaging of Acadiana LLC Diagnostic Radiology Past Accepting new patients
Envision Imaging of Acadiana, LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1174506182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 974150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753974150",
            "telephone_number": "337-593-9500",
            "fax_number": "337-593-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 KALISTE SALOOM RD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084395",
            "telephone_number": "337-593-9500",
            "fax_number": "337-593-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODCHAUX",
        "first_name": "JAMES",
        "middle_name": "BURTON",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "011929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164798",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 9, 2009; 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.