Anesthesia Associates of Louisiana
Organization Active NPI Anesthesiology Physician · Houma, LA
NPI 1265623599 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1265623599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD021195 (LA)
- Legal business name
- ANESTHESIA ASSOCIATES OF LOUISIANA
- Practice address
- 315 Liberty St
Houma, LA 70360-4425 - Phone
- (985) 223-3132
- Fax
- (985) 223-3126
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael Joseph Stipelcovich, M.B.A.
- Title
- Administrator
- Phone
- (985) 223-3132
Practitioners 8
-
Jarod Boudreaux, CRNA
-
Greg A Broussard, CRNA
-
Don A Falgout, CRNA
-
Michael S Haydel, M.D.
-
Heidi B Rodrigue, CRNA
-
Cody Michael Walker, CRNA
-
Toni Annette Bork, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080305000052 | LA | Part B Supplier - Clinic/Group Practice | 7012092893 |
Receives reassigned benefits from 7 practitioners Practice locations: Thibodaux, LA; Lafayette, LA; Houma, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | MD021195 | LA | Yes |
Addresses
Primary practice location
315 Liberty St
Houma, LA 70360-4425
Mailing address
PO Box 4333
Houma, LA 70361-4333
Phone (985) 223-3132
Other providers in Houma, LA
- Melanie Rene Anderson
- Nia Anderson
- Elizabeth Esponge Anderton
- Michelle M Andre
- Anesthesia Associates of Bayou Region LLC
- Danielle Doiron Angeron
- Anointed Angels Homecare LLC
- Anointed Angels Homecare, LLC
- Anointed Care Services, LLC
- Anointed Care Services, LLC
All providers in Houma, LA · Anesthesiology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.