Individual provider Active NPI

Jean C Torres, MD

  • Pediatrics Physician
  • Lafayette, LA
National Provider Identifier
1275791253
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
204482 Issued in LA
Practice address
435 Heymann Blvd
Lafayette, LA 70503-2616
Phone
(337) 237-1252
Fax
(337) 237-0733
NPI assigned
May 27, 2008
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 253214 NY
Pediatrics Physician 208000000X 204482 LA Primary

Addresses

Primary practice location

435 Heymann Blvd
Lafayette, LA 70503-2616

Mailing address

4809 Ambassador Caffery Pkwy
Suite 200
Lafayette, LA 70508-8800
Phone (337) 988-8803

Other identifiers 2

IdentifierTypeStateIssuer
03128627MedicaidNY
2180029MedicaidLA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204482LAMDPediatrics Physician
253214NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Group, Apc Past Accepting new patients
Premier Pediatrics of Acadiana, LLC Pediatrics Past Accepting new patients
Lewis C. Cummings M.D. Apmc Pediatrics Past Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGGAD/Endpoint/IAGGAD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1275791253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-988-8803",
            "fax_number": "337-988-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-237-1252",
            "fax_number": "337-237-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JEAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "253214",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "204482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03128627",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180029",
            "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 Sep 24, 2012; 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.