Organization Active NPI

Progressive Acute Care Physician Services , LLC

  • Family Medicine Physician
  • New Iberia, LA
National Provider Identifier
1396088464
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES , LLC
Practice address
1100 Andre St Ste 101
New Iberia, LA 70563-2159
Phone
(337) 369-9309
NPI assigned
Mar 27, 2013
Organization subpart
Yes
Parent organization
PROGRESSIVE ACUTE CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Donna D Varnado
Title
VP Business Services
Phone
(985) 624-7401

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X

Addresses

Primary practice location

1100 Andre St Ste 101
New Iberia, LA 70563-2159

Mailing address

2210 7TH St
Mandeville, LA 70471-1872
Phone (985) 624-7401

National Provider Directory

National Provider Directory

Locations

2210 7th St
Mandeville, LA 70471

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1396088464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 7TH ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711872",
            "telephone_number": "985-624-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ANDRE ST STE 101",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632159",
            "telephone_number": "337-369-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES , LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE ACUTE CARE, LLC",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "VARNADO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP BUSINESS SERVICES",
        "authorized_official_telephone_number": "985-624-7401"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.