Luisa C Bacuta-Tagorda, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD-08233R Issued in LA

Practice address

110 Acadia Drive
Raceland, LA 70394

Phone

(985) 537-8687

Fax

(985) 537-8976

NPI assigned

Jul 14, 2006

Last updated

Mar 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Childrens Clinic of Raceland LLC

  • Pediatrics Physician
  • Raceland, LA
  • NPI 1902009350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1285650200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ACADIA DRIVE",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "70394",
            "telephone_number": "985-537-8687",
            "fax_number": "985-537-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ACADIA DRIVE",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "70394",
            "telephone_number": "985-537-8687",
            "fax_number": "985-537-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACUTA-TAGORDA",
        "first_name": "LUISA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD-08233R",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "08233R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1394599",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Al Davis Pharmacy Inc
• Jonah Albares, D.D.S
• Austin Anthony Aucoin, PT, DPT
• Gerges Samir Azer, MD
• Lance L. Babin, D.D.S.
• Baye Chiropractic Clinic
• Julie Beard, LCSW
• Theresa Bouquet Becnel, P.T.
• Ralph C. Benson, M.D.
• Edgar C Bice IV, ATC, LAT

• Pediatrics Physician in Raceland, LA
• Providers in Raceland, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.