NPIMap

Organization Active NPI

Acadiana Center LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
National Provider Identifier
1386066769
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ACADIANA CENTER LLC
Doing business as
Acadiana Center LLC
Practice address
2501 W Pinhook Rd
Lafayette, LA 70508-3346
Phone
(337) 269-0136
NPI assigned
Jan 20, 2014
Last updated
Nov 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Gordon G Gidman, MDNPI 1437286085
Title
Owner
Phone
(337) 269-0136

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2501 W Pinhook Rd
Lafayette, LA 70508-3346

Mailing address

2501 W Pinhook Rd
Lafayette, LA 70508-3346
Phone (337) 269-0136

Other names 1

  • Acadiana Center LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141022001216 LA Part B Supplier - Clinic/Group Practice 6800017518 Receives reassigned benefits from 10 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1386066769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083346",
            "telephone_number": "337-269-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083346",
            "telephone_number": "337-269-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "GIDMAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-269-0136",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadiana Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 2017; 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.