Active NPI
Jacob Barrow Daigle, MD
- Surgery Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 206660
- Practice address
- 606 W 11TH Ave
Covington, LA 70433 - Phone
- (985) 892-3766
- NPI assigned
- May 19, 2009
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 206660 | LA | Primary |
Addresses
Primary practice location
606 W 11TH Ave
Covington, LA 70433
Mailing address
606 W 11TH Ave
Covington, LA 70433-3630
Phone (985) 892-3766
Other practice location 1
433 Plaza St Ste 3A
Bogalusa, LA 70427-3729
Phone (985) 730-7030
Other practice location 2
601 East 15th Street; Lower Level
UTMB-Austin General Surgery Residency Program
Austin, TX 78701
Phone (512) 324-7392
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04975731 | Medicaid | MS | |
| 2367692 | 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
- General Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1006 S Harrison St
Cardiovascular Clinic
Covington, LA 70433-3630
Phone (985) 871-4140
1202 S Tyler St
Attention Managed Care Dept.
Covington, LA 70433-2330
433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206660 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| St. Tammany Parish Hospital Service District No 1 | Current | Accepting new patients | |
| Ochsner Clinic LLC | Surgery | Current | Accepting new patients |
| St. Tammany Parish Hospital Service District No 1 | Current | Accepting new patients | |
| Our Lady of the Angels Hospital, Inc. | Current | Accepting new patients | |
| Wash-St Tammany Reg Medical Center | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| St Tammany Parish Hospital Service District No 1 | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Past | Accepting new patients | |
| St. Tammany Parish Hospital Service District No 1 | Past | Accepting new patients | |
| Washington St. Tammany Regional Medical Center | Past | Accepting new patients | |
| St. Tammany Parish Hospital Service District No 1 | Past | Accepting new patients |
Locations
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
433 Plaza St
Ste 3A
Bogalusa, LA 70427
Phone (985) 730-6970
728 W 11th Ave
Covington, LA 70433
Phone (985) 730-7195
900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383
606 W 11th Ave
Covington, LA 70433
Phone (504) 892-3766
606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766
1057 Paul Maillard Rd
Ste 2210
Luling, LA 70070
Phone (985) 785-5610
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
Interoperability endpoints
- jdaigle5309500@direct.casso.us.com
Organizations & group practices 12
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.
-
dba FMOL Health Our Lady of the Angels
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1912334533
-
dba St Tammany Physicians Network-Folsom
- Family Medicine Physician
- Folsom, LA
- NPI 1275539363
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Clinic Kenner MOB
- General Practice Physician
- Kenner, LA
- NPI 1669633178
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
-
dba Bone and Joint Clinic at St. Tammany Parish Hospital
- Orthopaedic Surgery Physician
- Covington, LA
- NPI 1598193625
-
dba Bogalusa Medical Center
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1508809088
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
dba Northlake Surgical Associates at St. Tammany Parish Hospital
- Specialist
- Covington, LA
- NPI 1538579032
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- Pharmacy
- Bogalusa, LA
- NPI 1801801436
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
dba FMOL Health Our Lady of the Angels
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1093140600
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1306071469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 W 11TH AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704333630",
"telephone_number": "985-892-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 W 11TH AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-892-3766"
}
],
"practiceLocations": [
{
"address_1": "433 Plaza St Ste 3A",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "704273729",
"country_code": "US",
"telephone_number": "985-730-7030",
"fax_number": "985-730-7032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 East 15th Street; Lower Level",
"address_2": "UTMB-Austin General Surgery Residency Program",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78701",
"country_code": "US",
"telephone_number": "512-324-7392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAIGLE",
"first_name": "JACOB",
"middle_name": "BARROW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-19",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "206660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04975731",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2367692",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.