NPIMap

Organization Active NPI

William Andre Cenac M.D.

  • Clinic/Center
  • New Iberia, LA
National Provider Identifier
1316292980
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD.017658 Issued in LA
Legal business name
WILLIAM ANDRE CENAC M.D.
Practice address
1307 Old Jeanerette Rd
Suite 101
New Iberia, LA 70563-5801
Phone
(337) 364-5333
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Dr. William Andre Cenac, MDNPI 1629175633
Title
Physician
Phone
(337) 364-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD.017658 LA Primary
Ambulatory Surgical Clinic/Center 261QA1903X MD.017658 LA

Addresses

Primary practice location

1307 Old Jeanerette Rd
Suite 101
New Iberia, LA 70563-5801

Mailing address

1307 Old Jeanerette Rd
Suite 101
New Iberia, LA 70563-5801
Phone (337) 364-5333

Other identifiers 1

IdentifierTypeStateIssuer
1358941MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
WM Andre Cenac MD Apmc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1307 Old Jeanerette Rd
Ste 101
New Iberia, LA 70563
Phone (337) 364-5333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1316292980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "address_2": "SUITE 101",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635801",
            "telephone_number": "337-364-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "address_2": "SUITE 101",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635801",
            "telephone_number": "337-364-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM ANDRE CENAC M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "CENAC",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-364-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "MD.017658",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "MD.017658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358941",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.