Active NPI
Jean C Torres, MD
- Pediatrics Physician
- Lafayette, LA
National Provider Identifier
1275791253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 204482
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03128627 | Medicaid | NY | |
| 2180029 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 204482 | LA | MD | Pediatrics Physician |
| 253214 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1124026919
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- Pediatrics Physician
- Lafayette, LA
- NPI 1225114036
-
- Pediatrics Physician
- Youngsville, LA
- NPI 1215380506
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.