NPIMap

Organization Active NPI

Anesthesia Associates of Louisiana

  • Anesthesiology Physician
  • Houma, LA
National Provider Identifier
1265623599
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD021195 Issued in 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
Last updated
Aug 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Michael Joseph Stipelcovich, M.B.A.
Title
Administrator
Phone
(985) 223-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD021195 LA Primary

Addresses

Primary practice location

315 Liberty St
Houma, LA 70360-4425

Mailing address

PO Box 4333
Houma, LA 70361-4333
Phone (985) 223-3132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

315 Liberty St
Houma, LA 70360
Phone (337) 367-5200

402 Dunn St
Houma, LA 70360
Phone (985) 872-1661

1101 S College Rd
Ste 100
Lafayette, LA 70503
Phone (337) 233-8603

604 N Acadia Rd
Ste 301
Thibodaux, LA 70301
Phone (985) 493-3095

Practitioners & affiliated clinicians

Practitioners 8

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1265623599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4333",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614333",
            "telephone_number": "985-223-3132",
            "fax_number": "985-223-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604425",
            "telephone_number": "985-223-3132",
            "fax_number": "985-223-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "STIPELCOVICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-223-3132",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD021195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.