Active NPI
Progressive Acute Care Physician Services , LLC
- Family Medicine Physician
- New Iberia, LA
National Provider Identifier
1396088464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Surgery Physician | 208600000X | |||
| Urology Physician | 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 DirectoryLocations
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.
-
- Psychiatric Hospital Unit
- Marksville, LA
- NPI 1942247069
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
- Progressive Acute Care Dauterive, LLC
- Progressive Acute Care Dauterive, LLC
- Progressive Acute Care Dauterive, LLC
- Progressive Acute Care Dauterive, LLC
- Progressive Acute Care Dauterive, LLC
- Progressive Acute Care Physician Services Dauterive LLC
- Promise Land Medical Transport LLC
- Erron David Pujol, FNP
- Jonathan B Purdy, DPM
- Pure Physical Therapy
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.