The Center for Pediatric and Adolescent Medicine,LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

THE CENTER FOR PEDIATRIC AND ADOLESCENT MEDICINE,LLC

Practice address

604 N Acadia Rd
Suite 200
Thibodaux, LA 70301-4897

Phone

(985) 448-3700

Fax

(985) 448-3900

NPI assigned

Jun 2, 2005

Last updated

Jul 21, 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

Ms. Robyn D Toups

Title

Manager

Phone

(985) 448-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 7

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.

• Micah Aaron Callais, NP

  • Pediatric Nurse Practitioner
  • Thibodaux, LA
  • NPI 1225539620
  NPD (past)
• Kenneth James Cruse, M.D.

  • Pediatrics Physician
  • Thibodaux, LA
  • NPI 1588668826
  NPD (past)
• Bernard Anthony Gaudin, PNP

  • Pediatric Nurse Practitioner
  • Thibodaux, LA
  • NPI 1891704185
  NPD (past)
• Beth F Lagarde, FNP-C

  • Family Health Clinical Nurse Specialist
  • Thibodaux, LA
  • NPI 1023721982
  NPD (past)
• Henry Matthew Peltier, M.D.

  • Pediatrics Physician
  • Thibodaux, LA
  • NPI 1902800246
  NPD (past)
• Jennifer D Rodrigue, PNP

  • Pediatric Nurse Practitioner
  • Thibodaux, LA
  • NPI 1649594441
  NPD (past)
• April D Sorrel, M.D.

  • Pediatrics Physician
  • New Iberia, LA
  • NPI 1164770418
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407858566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 200",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-448-3700",
            "fax_number": "985-448-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 200",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-448-3700",
            "fax_number": "985-448-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR PEDIATRIC AND ADOLESCENT MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOUPS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-448-3700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948446",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny A. Templet, M.D.
• Justin Michael Tenney, M.D.
• James Terrebonne, DDS
• Micah Terrebonne
• Texas Digestive Disease Consultants, PLLC
• The Center for Pediatric Therapy,LLC
• The Children's Clinic of Thibodaux ,L.L.C.
• The Childrens Clinic
• The Foundation for the Advancement of a Strategic Science of Teaching
• The Recovery Room, LLC

• Pediatric Adolescent Medicine Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Pediatric Adolescent Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.