Samantha Vidrine MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SAMANTHA VIDRINE MD LLC

Practice address

1268 Attakapas Dr Ste 102
Opelousas, LA 70570-6515

Phone

(337) 447-4280

Fax

(337) 447-4282

NPI assigned

Oct 5, 2018

Organization subpart

No

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

Authorized official

Name

Samantha Vidrine, MDNPI 1417360157

Title

Owner

Phone

(337) 447-4280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18314/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Samantha Lavergne Vidrine, M.D.

  • Obstetrics & Gynecology Physician
  • Opelousas, LA
  • NPI 1417360157
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1427523489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 ATTAKAPAS DR STE 102",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706515",
            "telephone_number": "337-447-4280",
            "fax_number": "337-447-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 ATTAKAPAS DR STE 102",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706515",
            "telephone_number": "337-447-4280",
            "fax_number": "337-447-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA VIDRINE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "VIDRINE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-447-4280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad M Ryder, CRNA
• S. Troy Miller, DDS, Opelousas, Apdc
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• Saint Landry Physical Therapy, Inc.
• India Sam
• Luris Sanchez, M.D.
• Courtney Sandoz Copell, MS, LPC
• Jose Angel Santiago Jr., M.D.
• Caroline Saucier
• Carl James Savoie, RPH

• Obstetrics & Gynecology Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.