Active NPI
David J Jewell, MD
- Diagnostic Radiology Physician
- Lafayette, LA
National Provider Identifier
1386631463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 017286
- Practice address
- 935 Camellia Blvd
Suite 101
Lafayette, LA 70508-7084 - Phone
- (337) 984-2036
- NPI assigned
- Oct 4, 2005
- Last updated
- Feb 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 017286 | LA | Primary |
Addresses
Primary practice location
935 Camellia Blvd
Suite 101
Lafayette, LA 70508-7084
Mailing address
PO Box 61950
Lafayette, LA 70596-1950
Phone (337) 261-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1369837 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017286 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Imaging of Lafayette LLC | Past | Accepting new patients | |
| Southwest Imaging Associates, Apmc | Diagnostic Radiology | Past | Accepting new patients |
| Lsu Medical Center | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Lafayette, LA
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- NPI 1588737803
-
- Diagnostic Radiology Physician
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- NPI 1457348609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1386631463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61950",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705961950",
"telephone_number": "337-261-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 CAMELLIA BLVD",
"address_2": "SUITE 101",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705087084",
"telephone_number": "337-984-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "017286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1369837",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Whitney Jennings
- Jerrilynn J. Primeaux, D.C. (a Professional Chiropractic Corporation) (Advanced Chiropractic and Sports Rehabilitation Clinic)
- Jesse Kevin Duplechain MD II a Professional Medical Corporation
- Jennifer Jesset
- Jessica Petry, M.D. a.P.M.C.
- Jim Morvant Enterprises, Inc. (Morvant Spinal Care and Rehab)
- Jim Nichols, DDS Apdc
- Fredericka Cardae Jim, LMSW
- Jimmy a Babineaux Jr DDS LLC
- Sanjiv Jindia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.