NPIMap

Organization Active NPI

Kenneth L. Odinet MD, ASC-LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, LA
National Provider Identifier
1427325364
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
177 Issued in LA
Legal business name
KENNETH L. ODINET MD, ASC-LLC
Practice address
200 Beaullieu Dr
Building 6
Lafayette, LA 70508-7230
Phone
(337) 234-8648
Fax
(337) 233-0244
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Kenneth L Odinet, M.D.NPI 1942282389
Title
Owner
Phone
(337) 234-8648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 177 LA Primary

Addresses

Primary practice location

200 Beaullieu Dr
Building 6
Lafayette, LA 70508-7230

Mailing address

200 Beaullieu Dr
Building 6
Lafayette, LA 70508-7230
Phone (337) 234-8648

National Provider Directory

National Provider Directory

Locations

200 Beaullieu Dr
Ste 6
Lafayette, LA 70508
Phone (337) 234-8644

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1427325364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR",
            "address_2": "BUILDING 6",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-234-8648",
            "fax_number": "337-233-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR",
            "address_2": "BUILDING 6",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-234-8648",
            "fax_number": "337-233-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L. ODINET MD, ASC-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "ODINET",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-234-8648",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 21, 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.