Organization Active NPI

Opelousas General Health System

Doing business as Physician Practices

  • Surgery Physician
  • Opelousas, LA
National Provider Identifier
1255598223
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OPELOUSAS GENERAL HEALTH SYSTEM
Doing business as
Physician Practices
Practice address
703 E Prudhomme St
Suite 2
Opelousas, LA 70570-6494
Phone
(337) 942-7192
Fax
(337) 942-5940
NPI assigned
May 19, 2008
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Mr. James B Juneau, CFO
Title
Authorized Official
Phone
(337) 942-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

703 E Prudhomme St
Suite 2
Opelousas, LA 70570-6494

Mailing address

703 E Prudhomme St
Opelousas, LA 70570-6494
Phone (337) 942-7192

Other names 1

  • Physician Practices Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121105000236 LA Part B Supplier - Clinic/Group Practice 9830340694 Receives reassigned benefits from 87 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Opelousas, LA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1255598223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706494",
            "telephone_number": "337-942-7192",
            "fax_number": "337-942-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E PRUDHOMME ST",
            "address_2": "SUITE 2",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706494",
            "telephone_number": "337-942-7192",
            "fax_number": "337-942-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPELOUSAS GENERAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "JUNEAU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "337-942-7192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Practices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.