Organization Active NPI

James N. Domingue M.D. Apmc

  • Clinical Neurophysiology Physician
  • Lafayette, LA
National Provider Identifier
1356471601
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
012702 Issued in LA
Legal business name
JAMES N. DOMINGUE M.D. APMC
Practice address
1245 S College Rd
Suite 100
Lafayette, LA 70503-2907
Phone
(337) 269-5840
Fax
(337) 237-7568
NPI assigned
Mar 6, 2007
Last updated
Oct 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Dr. James Neal Domingue, MDNPI 1699779645
Title
President
Phone
(337) 269-5840

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X 012702 LA Primary

Addresses

Primary practice location

1245 S College Rd
Suite 100
Lafayette, LA 70503-2907

Mailing address

1245 S College Rd
Suite 100
Lafayette, LA 70503-2907
Phone (337) 269-5840

Other identifiers 1

IdentifierTypeStateIssuer
1190497MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000682 LA Part B Supplier - Clinic/Group Practice 8224118955 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

1245 S College Rd
Ste 100
Lafayette, LA 70503
Phone (337) 269-5840

501 W Saint Mary Blvd
Ste 304
Lafayette, LA 70506
Phone (318) 269-5840

913 S College Rd
Ste 103
Lafayette, LA 70503
Phone (337) 233-7223

4015 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 269-5840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1356471601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S COLLEGE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032907",
            "telephone_number": "337-269-5840",
            "fax_number": "337-237-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S COLLEGE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032907",
            "telephone_number": "337-269-5840",
            "fax_number": "337-237-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES N. DOMINGUE M.D. APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "DOMINGUE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-269-5840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "LA",
            "license": "012702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1190497",
            "state": "LA"
        }
    ],
    "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 Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.