Main Street Physician Services LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

MAIN STREET PHYSICIAN SERVICES LLC

Practice address

2315 E Main St
New Iberia, LA 70560-4031

Phone

(800) 893-9698

NPI assigned

Jun 25, 2014

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisha C Falk

Title

VP of Contracting

Phone

(337) 609-1221

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 97

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.

• Shema Abraham, M.D

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1285053405
  Medicare reassignment NPD
• Jason Adekoya, MD, MPH

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1548846215
  Medicare reassignment NPD
• Alexis Carroll Ammons, APRN, FNP-C

  • Nurse Practitioner
  • Lafayette, LA
  • NPI 1649519174
  Medicare reassignment NPD
• Troy William Antill

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1043585300

  Hospitalist

  Medicare reassignment NPD
• Amir Habibollah Ausef, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1528046315

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Stewart T Cayton, MD

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1255322830
  Medicare reassignment NPD
• Sai Sudhakar Chennamsetty, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1245593979
  Medicare reassignment NPD
• Gertrude I. O Chimeka Anyanwoke, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1760465421
  Medicare reassignment NPD
• Myungho Cho

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1811919749
  Medicare reassignment NPD
• Andrew F. Clarke, M.D.

  • Hospitalist Physician
  • Lafayette, LA
  • NPI 1972565257

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Dokun Tobi Dairo, M.D.

  • Internal Medicine Physician
  • Crowley, LA
  • NPI 1508017906

  Hospitalist

  Medicare reassignment NPD
• Stephen Orr Davis, MD

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1700406162
  Medicare reassignment NPD

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1396150785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604031",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Lewis St",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705632043",
            "country_code": "US",
            "telephone_number": "337-374-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAIN STREET PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "LISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF CONTRACTING",
        "authorized_official_telephone_number": "337-609-1221"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2379437",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loving Care Sitting Service,LLC
• Dena Kendrick Lowe, FNP
• Luis E Alvarez MD Apmc
• John T. Mahoney, D.D.S.
• Main Street Emergency Group LLC
• Joseph Malbrough
• Courtney L Mann, RDN
• Clayton Michael Maraist, M.D.
• Mark B. Charbonnet, MD Apmc (Acadiana Oncology)
• Kathryn Markowich, P.T.

• Hospitalist Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Hospitalist Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.