Organization Active NPI

Lafayette Health Ventures, Inc

Doing business as Jennifer Pugliese MD

  • Obstetrics & Gynecology Physician
  • Lafayette, LA
National Provider Identifier
1427287176
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.203103 Issued in LA
Legal business name
LAFAYETTE HEALTH VENTURES, INC
Doing business as
Jennifer Pugliese MD
Practice address
1460 S College Rd
Lafayette, LA 70503-2912
Phone
(337) 234-3344
NPI assigned
Jul 2, 2009
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Brian Kirk
Title
Vice President
Phone
(337) 289-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.203103 LA Primary

Addresses

Primary practice location

1460 S College Rd
Lafayette, LA 70503-2912

Mailing address

PO Box 62600
Dept 1721
New Orleans, LA 70162-2600
Phone (337) 706-1605

Other identifiers 1

IdentifierTypeStateIssuer
1887129MedicaidLA

Other names 1

  • Jennifer Pugliese MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1427287176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62600",
            "address_2": "DEPT 1721",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701622600",
            "telephone_number": "337-706-1605",
            "fax_number": "337-981-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032912",
            "telephone_number": "337-234-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE HEALTH VENTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "337-289-8951"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.203103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887129",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Pugliese MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 2011; 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.