TKZ Pediatrics LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD204356 Issued in LA

Legal business name

TKZ PEDIATRICS LLC

Practice address

9305 Main St
Suite D
Zachary, LA 70791-7441

Phone

(225) 658-7860

Fax

(225) 658-7862

NPI assigned

Feb 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Taira Lynn Woodroffe, MDNPI 1508002494

Title

Physician/Owner

Phone

(225) 658-7860

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taira Lynn Woodroffe, M.D.

  • Pediatrics Physician
  • Zachary, LA
  • NPI 1508002494
  NPD (past) Authorized official

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1184964975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 MCCOY BYRNES RD",
            "city": "ETHEL",
            "state": "LA",
            "postal_code": "707304060",
            "telephone_number": "225-658-7860",
            "fax_number": "225-658-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 MAIN ST",
            "address_2": "SUITE D",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917441",
            "telephone_number": "225-658-7860",
            "fax_number": "225-658-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKZ PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "WOODROFFE",
        "authorized_official_first_name": "TAIRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "225-658-7860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD204356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152408",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Talbot Thompson
• Charles Allen Thompson, M.D.
• Delayshia Thompson
• Gloria Thompson, LCSW
• Olusola Tijani, MD
• Amy Baum Tomb, ANP
• Toomey Belanger Eye Care
• Tots Talk 2 LLC
• Michelle Trahan, SLP
• Thomas N Trahan, MD

• Primary Care Clinic/Center in Zachary, LA
• Providers in Zachary, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.