Individual provider Active NPI

Thomas R Jarnagin, MD

  • Specialist
  • Opelousas, LA
National Provider Identifier
1265411797
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
025397 Issued in LA
Practice address
1268 Attakapas Dr
St 103
Opelousas, LA 70570-6515
Phone
(337) 942-8975
Fax
(337) 506-3382
NPI assigned
Jan 12, 2006
Last updated
Dec 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 025397 LA Primary

Addresses

Primary practice location

1268 Attakapas Dr
St 103
Opelousas, LA 70570-6515

Mailing address

1268 Attakapas Dr
St 103
Opelousas, LA 70570-6515
Phone (337) 942-8975

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
I20041210000012 LA Practitioner - Obstetrics/Gynecology 9335106442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1270 Attakapas Dr
Suite 101
Opelousas, LA 70570-6549
Phone (337) 942-8975

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025397LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Center for Better Health, Apmc CurrentSince Jul 26, 2004 Accepting new patients
Womens Center for Better Health, Apmc Specialist CurrentSince Aug 16, 2004 Accepting new patients
Opelousas General Hospital Authority Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

1268 Attakapas Dr
Ste 103
Opelousas, LA 70570
Phone (337) 407-4523

1270 Attakapas Dr
Ste 101
Opelousas, LA 70570
Phone (337) 942-7192

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

504 Jack Miller Rd
Ste 4
Ville Platte, LA 70586
Phone (337) 363-6480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEBECD/Endpoint/EEBECD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Womens Center for Better Health ApmcOpelousas, LA, CCN 198931 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Director
Jul 30, 2004
Jul 30, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1265411797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 ATTAKAPAS DR",
            "address_2": "ST 103",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706515",
            "telephone_number": "337-942-8975",
            "fax_number": "337-506-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 ATTAKAPAS DR",
            "address_2": "ST 103",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706515",
            "telephone_number": "337-942-8975",
            "fax_number": "337-506-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARNAGIN",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "025397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.