Organization Active NPI

Children's Multi-Specialty Group LLC

  • Pediatrics Physician
  • Lafayette, LA
National Provider Identifier
1427236108
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S MULTI-SPECIALTY GROUP LLC
Practice address
4704 Ambassador Caffery Parkway
Lafayette, LA 70508
Phone
(337) 521-9250
NPI assigned
Feb 5, 2008
Last updated
Apr 7, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HTI HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Mr. Mickey S Pickler
Title
Vice President
Phone
(816) 508-4039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

4704 Ambassador Caffery Parkway
Lafayette, LA 70508

Mailing address

4704 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 521-9250

Other identifiers 1

IdentifierTypeStateIssuer
1036714MedicaidLA

National Provider Directory

National Provider Directory

Locations

4650 Ambassador Caffery Pkwy
Ste 103A
Lafayette, LA 70508
Phone (337) 989-7488

4650 Ambassador Caffery Pkwy
Ste 202
Lafayette, LA 70508
Phone (337) 983-2468

4704 Ambassador Caffery Pkwy
Fl 3
Lafayette, LA 70508
Phone (337) 470-5920

2640 Country Club Rd
Ste 100
Lake Charles, LA 70605
Phone (337) 371-3101

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1427236108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-521-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 AMBASSADOR CAFFERY PARKWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-521-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MULTI-SPECIALTY GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HTI  HOLDINGS INC",
        "enumeration_date": "2008-02-05",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-508-4039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036714",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.