Our Lady of Lourdes Dba James Mwatibo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14561R Issued in LA

Legal business name

OUR LADY OF LOURDES DBA JAMES MWATIBO, M.D.

Practice address

850 N Pierce St Ste D
Lafayette, LA 70501-2848

Phone

(337) 233-2115

Fax

(337) 237-9075

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Willilam Barrow

Title

Ceo

Phone

(337) 289-2000

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1174825202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N PIERCE ST STE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012848",
            "telephone_number": "337-233-2115",
            "fax_number": "337-237-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N PIERCE ST STE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012848",
            "telephone_number": "337-233-2115",
            "fax_number": "337-237-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES DBA JAMES MWATIBO, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "WILLILAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-289-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "14561R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evalyn Yvette Otzenberger, LCSW
• John M. Oubre, D.D.S.
• Sean Matthew Oubre
• Jaime Michael Ougel, G.N.P., APMHNP
• Our Lady of Lourdes Apothecary
• Our Lady of Lourdes Regional (Richard Hsin Fei MD)
• Our Lady of Lourdes Regional Medical Center
• Our Lady of Lourdes Regional Medical Center
• Our Lady of Lourdes Regional Medical Center
• Our Lady of Lourdes Regional Medical Center (Lourdes Physician Billing Service)

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.