Organization Active NPI

WM. Andre Cenac, MD Apmc

  • Specialist
  • New Iberia, LA
National Provider Identifier
1215332770
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD017658 Issued in LA
Legal business name
WM. ANDRE CENAC, MD APMC
Practice address
1307 Old Jeanerette Rd
Suite 100
New Iberia, LA 70563-5801
Phone
(337) 364-3000
Fax
(337) 364-5333
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Ms. Eleanor M Landry, RHIA
Title
Office Manager
Phone
(337) 364-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD017658 LA Primary

Addresses

Primary practice location

1307 Old Jeanerette Rd
Suite 100
New Iberia, LA 70563-5801

Mailing address

1307 Old Jeanerette Rd
Suite 100
New Iberia, LA 70563-5801
Phone (337) 364-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141110000653 LA Part B Supplier - Clinic/Group Practice 9830311745 Receives reassigned benefits from 1 practitioner
Practice locations: New Iberia, LA
O20160314000118 LA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9830311745 Practice locations: New Iberia, LA

National Provider Directory

National Provider Directory
Tax ID family
WM Andre Cenac MD Apmc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1307 Old Jeanerette Rd
Ste 100
New Iberia, LA 70563
Phone (337) 364-3000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1215332770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "address_2": "SUITE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635801",
            "telephone_number": "337-364-3000",
            "fax_number": "337-364-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "address_2": "SUITE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635801",
            "telephone_number": "337-364-3000",
            "fax_number": "337-364-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM. ANDRE CENAC, MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-364-4440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD017658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.