NPIMap

Organization Active NPI

Eunice Anesthesiology Group LLC

  • Anesthesiology Physician
  • Eunice, LA
National Provider Identifier
1386681278
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EUNICE ANESTHESIOLOGY GROUP LLC
Practice address
400 Moosa Blvd
Eunice, LA 70535-3628
Phone
(337) 457-5244
NPI assigned
Jun 1, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Robert K. Guillory, M.D.NPI 1508807348
Title
President
Phone
(337) 457-5244

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
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

400 Moosa Blvd
Eunice, LA 70535-3628

Mailing address

400 Moosa Blvd
Eunice, LA 70535-3628
Phone (337) 457-5244

Other identifiers 1

IdentifierTypeStateIssuer
1443191MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504001163 LA Part B Supplier - Clinic/Group Practice 2365430758 Receives reassigned benefits from 22 practitioners
Practice locations: Eunice, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1386681278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MOOSA BLVD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353628",
            "telephone_number": "337-457-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MOOSA BLVD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353628",
            "telephone_number": "337-457-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE ANESTHESIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-457-5244",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443191",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.