Iberia Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

IBERIA PEDIATRICS

Practice address

295 Indest St
New Iberia, LA 70563

Phone

(337) 365-0268

Fax

(337) 369-6922

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Ann Sims

Title

Office Manager

Phone

(337) 365-0268

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Iberia Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Iberia Pediatrics Inc

  • Primary Care Clinic/Center
  • New Iberia, LA
  • NPI 1205213949
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• April D Sorrel, M.D.

  • Pediatrics Physician
  • New Iberia, LA
  • NPI 1164770418
  NPD
• Lynzie Elizabeth Boudreaux, MD

  • Pediatrics Physician
  • New Iberia, LA
  • NPI 1285847087
  NPD (past)
• Maurice B. Faugot, M.D.

  • Pediatrics Physician
  • New Iberia, LA
  • NPI 1467418277
  NPD (past)
• Allison Z Rader, MD

  • Pediatrics Physician
  • New Iberia, LA
  • NPI 1417959412
  NPD (past)

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1396985719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 INDEST ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70563",
            "telephone_number": "337-365-0268",
            "fax_number": "337-369-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 INDEST ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70563",
            "telephone_number": "337-365-0268",
            "fax_number": "337-369-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-365-0268",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "10885R",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1996629",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iberia Medical Center Physician Practice Network
• Iberia Orthopedic Group a Professional Corporation
• Iberia Parish School Board
• Iberia Parish School Board
• Iberia Parish School Board
• Iberia Pediatrics Inc
• Iberia Physician Services LLC
• Iberia Rehabilitation Hospital, LLC
• Iberia Sleep Center, LLC
• Iberia Sports and Rehabilitation, LLC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.