Individual provider Active NPI

Patrick Alton Juneau III, M.D.

  • Neurological Surgery Physician
  • Lafayette, LA
National Provider Identifier
1275568297
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
74438 Issued in MA
Practice address
1103 Kaliste Saloom Rd
Suite 206
Lafayette, LA 70508-5783
Phone
(337) 267-1319
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 74438 MA Primary

Addresses

Primary practice location

1103 Kaliste Saloom Rd
Suite 206
Lafayette, LA 70508-5783

Mailing address

1103 Kaliste Saloom Rd
Suite 206
Lafayette, LA 70508-5783
Phone (337) 267-1319

Other identifiers 1

IdentifierTypeStateIssuer
1929662MedicaidLA

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
I20040607000130 LA Practitioner - Neurosurgery 8921080532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Tulane University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Associates of Louisiana, L.L.C.Group PAC ID 2961301130, 4 clinicians

Practice addresses (Care Compare)

1103 Kaliste Saloom Rd
Suite 206
Lafayette, LA 70508-5784
Phone (337) 267-1319

118 Rue Fontaine
Lafayette, LA 70508-5745
Phone (337) 534-8680

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74438MAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Associates of Louisiana, L.L.C. Neurological Surgery CurrentSince Jul 1, 2003 Accepting new patients

Locations

1103 Kaliste Saloom Rd
Ste 206
Lafayette, LA 70508
Phone (337) 267-1319

118 Rue Fontaine
Lafayette, LA 70508
Phone (337) 534-8680

516 Verot School Rd
Lafayette, LA 70508
Phone (337) 233-3850

501 W Saint Mary Blvd
Ste 210
Lafayette, LA 70506
Phone (337) 233-1114

1103 Kaliste Saloom Rd
Ste 204
Lafayette, LA 70508
Phone (337) 264-7201

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1275568297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 206",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-267-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 206",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-267-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "PATRICK ALTON",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "74438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1929662",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.