Individual provider Active NPI

Tomas Golan, M.D.

  • Pediatrics Physician
  • New Iberia, LA
National Provider Identifier
1225078090
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12308R Issued in LA
Practice address
2308 E Main St
New Iberia, LA 70560-4032
Phone
(337) 560-5005
Fax
(337) 560-9757
NPI assigned
Jun 8, 2006
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12308R LA Primary

Addresses

Primary practice location

2308 E Main St
New Iberia, LA 70560-4032

Mailing address

2308 E Main St
New Iberia, LA 70560-4032
Phone (337) 560-5005

Other identifiers 2

IdentifierTypeStateIssuer
1535397MedicaidLA
5444613OtherLAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041106000111 LA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2466415856 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12308RLAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Oct 12, 2014 Accepting new patients
Correct Care, Inc. CurrentSince Jul 27, 2011 Accepting new patients
Acadiana Acute Care Associates, LLC CurrentSince Jul 25, 2019 Accepting new patients
Nes Louisiana Inc CurrentSince Mar 11, 2017 Accepting new patients
Nes Louisiana Inc CurrentSince Mar 11, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 12, 2014 Accepting new patients
Concord North Texas, PLLC CurrentSince Sep 18, 2019 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary Past Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary Past Accepting new patients
Gerard F. Sigue MD, Ms, LLC Past Accepting new patients
Iberia General Hospital & Medical Center Past Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

Organizations & group practices 11

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1225078090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604032",
            "telephone_number": "337-560-5005",
            "fax_number": "337-560-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604032",
            "telephone_number": "337-560-5005",
            "fax_number": "337-560-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLAN",
        "first_name": "TOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "12308R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1535397",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5444613",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.