NPIMap

Organization Active NPI

Iberia General Hospital and Medical Center

Doing business as Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • New Iberia, LA
National Provider Identifier
1255448973
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
115 Issued in LA
Legal business name
IBERIA GENERAL HOSPITAL AND MEDICAL CENTER
Doing business as
Endocrinology Associates
Practice address
2205 Old Jeanerette Rd
New Iberia, LA 70563-8687
Phone
(337) 560-1992
Fax
(337) 364-9102
NPI assigned
Aug 25, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
IBERIA GENERAL HOSPITAL AND MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. John A Tucker, FACHE
Title
President/Chief Executive Officer
Phone
(337) 374-7104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 115 LA Primary

Addresses

Primary practice location

2205 Old Jeanerette Rd
New Iberia, LA 70563-8687

Mailing address

PO Box 10539
New Iberia, LA 70562-0539
Phone (337) 560-1992

Other identifiers 1

IdentifierTypeStateIssuer
CN9239OtherLAMEDICARE RAILROAD GROUP

Other names 1

  • Endocrinology Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iberia Medical Center8 organizations share this tax ID, including this one
Part of
Iberia Medical Center

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1255448973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10539",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705620539",
            "telephone_number": "337-560-1992",
            "fax_number": "337-364-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705638687",
            "telephone_number": "337-560-1992",
            "fax_number": "337-364-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA GENERAL HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IBERIA GENERAL HOSPITAL AND MEDICAL CENTER",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "337-374-7104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CN9239",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2008; 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.