PHC-Opelousas LP

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PHC-OPELOUSAS LP

Doing business as

Doctors Hospital of Opelousas

Practice address

3983 I 49 S Service Rd
Opelousas, LA 70570-0758

Phone

(337) 948-2107

Fax

(337) 948-2173

NPI assigned

Jun 6, 2008

Organization subpart

Yes

Parent organization

PHC-OPELOUSAS LPAs reported in NPPES

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

Authorized official

Name

Mr. William M. Gracey, COO

Title

Chief Operating Officer

Phone

(615) 372-8500

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Doctors Hospital of Opelousas Doing business as

Part of

PHC-Opelousas LP

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1336308022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 I 49 S SERVICE RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700758",
            "telephone_number": "337-948-2107",
            "fax_number": "337-948-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 I 49 S SERVICE RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700758",
            "telephone_number": "337-948-2107",
            "fax_number": "337-948-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC-OPELOUSAS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHC-OPELOUSAS LP",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "GRACEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "615-372-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH1013",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706841",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Hospital of Opelousas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip E Pearce, M.S.
• Pelican Mobilization
• Javier Monique Pennywell, BACHELOR OF ARTS
• PHC -Opelousas LP
• PHC-Opelousas LP
• PHC-Opelousas LP
• PHC-Opelousas LP
• Philip a Landry MD a Professional Medical Corporation
• Brittnei Picard I, PA-C
• Dieadra Pickney Cains, RPH

• Anesthesiology Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Anesthesiology Physician in Louisiana

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