Active NPI
Patrick Alton Juneau III, M.D.
- Neurological Surgery Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 74438
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1929662 | Medicaid | LA |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 74438 | MA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Associates of Louisiana, L.L.C. | Neurological Surgery | Current | 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.
-
- Neurological Surgery Physician
- Lafayette, LA
- NPI 1083721856
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1134222565
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.