NPIMap

Organization Active NPI

Kenneth D Futch, MD, AMC

  • Cardiovascular Disease Physician
  • Lafayette, LA
National Provider Identifier
1336299056
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
010958 Issued in LA
Legal business name
KENNETH D FUTCH, MD, AMC
Practice address
155 Hospital Dr
Ste 101
Lafayette, LA 70503-2852
Phone
(337) 269-9777
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Kenneth D Futch, MD
Title
President
Phone
(337) 269-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 010958 LA Primary

Addresses

Primary practice location

155 Hospital Dr
Ste 101
Lafayette, LA 70503-2852

Mailing address

PO Box 52507
Lafayette, LA 70505-2507
Phone (337) 269-9777

National Provider Directory

National Provider Directory

Locations

155 Hospital Dr
Ste 101
Lafayette, LA 70503
Phone (337) 234-3204

Practitioners & affiliated clinicians

Practitioners 9

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1336299056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52507",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052507",
            "telephone_number": "337-269-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-269-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D FUTCH, MD, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "FUTCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-269-9777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "010958",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 12, 2008; 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.