Organization Active NPI

Womens Multi-Specialty Group LLC

  • Surgery Physician
  • Lafayette, LA
National Provider Identifier
1265627509
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WOMENS MULTI-SPECIALTY GROUP LLC
Practice address
4630 Ambassador Caffery Pkwy
Suite 308
Lafayette, LA 70508-6949
Phone
(337) 989-8770
Fax
(337) 989-8768
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Mr. James M. Remetich
Title
Vice President
Phone
(504) 988-7507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4630 Ambassador Caffery Pkwy
Suite 308
Lafayette, LA 70508-6949

Mailing address

4630 Ambassador Caffery Pkwy
Suite 308
Lafayette, LA 70508-6949
Phone (337) 989-8770

Other identifiers 1

IdentifierTypeStateIssuer
1369349MedicaidLA

National Provider Directory

National Provider Directory

Locations

4630 Ambassador Caffery Pkwy
Ste 406
Lafayette, LA 70508
Phone (337) 989-8770

4630 Ambassador Caffery Pkwy
Ste 308
Lafayette, LA 70508
Phone (337) 289-5277

4600 Ambassador Caffery Pkwy
#H
Lafayette, LA 70508
Phone (337) 989-7350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1265627509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 308",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086949",
            "telephone_number": "337-989-8770",
            "fax_number": "337-989-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 308",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086949",
            "telephone_number": "337-989-8770",
            "fax_number": "337-989-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS MULTI-SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "REMETICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "504-988-7507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1369349",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.