Pediatric Specialties Apmc

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

11023R Issued in LA

Legal business name

PEDIATRIC SPECIALTIES APMC

Practice address

4540 Ambassador Caffery Pkwy
Ste C 200
Lafayette, LA 70508-6928

Phone

(337) 981-9110

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Albert M. Gutierrez, M.D.NPI 1356339147

Title

Physician

Phone

(337) 981-9110

Specialties & licenses 1

Addresses

Practitioners 1

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

• Albert Manuel Gutierrez, MD

  • Pediatric Cardiology Physician
  • Lafayette, LA
  • NPI 1356339147
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1376601864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52843",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE C 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086928",
            "telephone_number": "337-981-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALTIES APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-981-9110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "LA",
            "license": "11023R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Clinic of Lafayette LLC
• Pediatric Dental Specialists of Lafayette
• Pediatric General Surgery Apmc
• Pediatric Group of Acadiana, LLC
• Pediatric Neurology of Acadiana
• Pediatric Therapy and Learning Center
• Pediatric Therapy and Learning Center LLC
• Pediatric Therapy and Learning Center, LLC
• Pediatrust Acadiana, LLC
• Michael Peebles

• Pediatric Cardiology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatric Cardiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.