Individual provider Active NPI

John Philip Somner Jr., M.D.

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1275735995
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.204120 Issued in LA
Practice address
102 Coulee Shore Dr
Lafayette, LA 70503-3021
Phone
(337) 789-0558
Fax
(337) 326-5915
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25260 OK
Family Medicine Physician 207Q00000X MD.204120 LA Primary

Addresses

Primary practice location

102 Coulee Shore Dr
Lafayette, LA 70503-3021

Mailing address

102 Coulee Shore Dr
Lafayette, LA 70503-3021
Phone (337) 789-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204120LAMDFamily Medicine Physician
25260OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swla Center for Health Services Past Accepting new patients
Swla Center for Health Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1275735995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COULEE SHORE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033021",
            "telephone_number": "337-789-0558",
            "fax_number": "337-326-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COULEE SHORE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033021",
            "telephone_number": "337-789-0558",
            "fax_number": "337-326-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMNER",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.204120",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 7, 2019; 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.