Organization Active NPI

David and Eldredge ENT Specialists, LLC

  • Otolaryngology Physician
  • Lafayette, LA
National Provider Identifier
1366774929
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
DAVID AND ELDREDGE ENT SPECIALISTS, LLC
Practice address
109 Rue Fontaine
Lafayette, LA 70508-5744
Phone
(337) 266-9820
Fax
(337) 266-9822
NPI assigned
Feb 8, 2010
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dr. Lisa David, M.D.NPI 1245209899
Title
Partner
Phone
(337) 266-9820

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
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

109 Rue Fontaine
Lafayette, LA 70508-5744

Mailing address

109 Rue Fontaine
Lafayette, LA 70508-5744
Phone (337) 266-9820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100820000786 LA Part B Supplier - Clinic/Group Practice 2860526266 Receives reassigned benefits from 4 practitioners
Practice locations: Lafayette, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2061596David and Eldredge ENT Specialists, LLC109 Rue Fontaine, Lafayette, LA 70508Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

109 Rue Fontaine
Lafayette, LA 70508
Phone (337) 266-9820

185 S Beadle Rd
Ste B
Lafayette, LA 70508
Phone (337) 266-9820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8240/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1366774929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RUE FONTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-266-9820",
            "fax_number": "337-266-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RUE FONTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-266-9820",
            "fax_number": "337-266-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID AND ELDREDGE ENT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "337-266-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "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 May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.