Organization Active NPI

Adam Kennedy MD LLC

  • Orthopaedic Surgery Physician
  • Lafayette, LA
National Provider Identifier
1194087379
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.203724 Issued in LA
Legal business name
ADAM KENNEDY MD LLC
Practice address
1000 W Pinhook Rd Ste 305
Lafayette, LA 70503-2460
Phone
(337) 235-1600
Fax
(337) 235-1604
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Kendra A Guillory
Title
Office Manager
Phone
(337) 235-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD.203724 LA Primary

Addresses

Primary practice location

1000 W Pinhook Rd Ste 305
Lafayette, LA 70503-2460

Mailing address

1000 W Pinhook Rd Ste 305
Lafayette, LA 70503-2460
Phone (337) 235-1600

Other identifiers 1

IdentifierTypeStateIssuer
2197703MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1194087379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W PINHOOK RD STE 305",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032460",
            "telephone_number": "337-235-1600",
            "fax_number": "337-235-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W PINHOOK RD STE 305",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032460",
            "telephone_number": "337-235-1600",
            "fax_number": "337-235-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM KENNEDY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-235-1600"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.203724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197703",
            "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 Mar 21, 2014; 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.