Lisa Sykes Thibodeaux, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

200182 Issued in LA

Practice address

1126 Marguerite St
Ste a
Morgan City, LA 70380-1891

Phone

(985) 917-3007

Fax

(985) 702-9286

NPI assigned

Aug 8, 2007

Last updated

Feb 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Louisiana State University School of Medicine in New Orleans, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Neuroscience Center, LLCGroup PAC ID 9032010558, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Neuroscience Center, LLC

  dba Imaging Center of South Louisiana

  • Specialist
  • Gray, LA
  • NPI 1285630129
  Medicare reassignment Care Compare group
• Southeast Neuroscience Center, LLC

  • Medical Specialty Clinic/Center
  • Houma, LA
  • NPI 1366820367
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1417148933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4051",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614051",
            "telephone_number": "985-917-3007",
            "fax_number": "985-917-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MARGUERITE ST",
            "address_2": "STE A",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801891",
            "telephone_number": "985-917-3007",
            "fax_number": "985-702-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "LISA",
        "middle_name": "SYKES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "200182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1065200",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Well Mind, LLC
• Bethanie Taylor Thibodaux, FNP-C
• Brent M Thibodaux, LAC
• Donald P Thibodaux, MD
• Shwanda Catrice Thibodaux
• Kimberly Thorguson, M.D.
• Thurston Ophthalmology LLC
• Carla Taylor Thurston, MD
• Jared S Thurston, M.D.
• Tregle Chiropractic Clinic, LLC

• Neurology Physician in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Neurology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.