Lourdes Physician Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LOURDES PHYSICIAN GROUP LLC

Practice address

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917

Phone

(337) 470-2000

Fax

(337) 470-2019

NPI assigned

Aug 2, 2012

Last updated

Aug 14, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Mr. William F Barrow II

Title

Ceo

Phone

(337) 470-2999

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Our Lady of Lourdes Apothecary

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495

  Member Of

  NPD member

Locations (25 of 44)

Practitioners 330

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.

• Shema Abraham, M.D

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1285053405
  Medicare reassignment Care Compare group NPD
• Oliver Y Achi, MD

  • Neurology Physician
  • Lafayette, LA
  • NPI 1841684263
  Medicare reassignment Care Compare group NPD
• Shameem Akhtar, M.D.

  • Hospitalist Physician
  • Lafayette, LA
  • NPI 1720184328
  Medicare reassignment Care Compare group NPD
• Justin Michael Ardoin, M.D.

  • Pulmonary Disease Physician
  • Lafayette, LA
  • NPI 1962610360
  Medicare reassignment Care Compare group NPD
• Stephanie Annette Barrow, DO

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1144780164
  Medicare reassignment Care Compare group NPD
• Ashley Robert Begnaud, NP

  • Family Nurse Practitioner
  • Breaux Bridge, LA
  • NPI 1235913393
  Medicare reassignment Care Compare group NPD
• Michelle Lee Benoit, FNP

  • Family Nurse Practitioner
  • Broussard, LA
  • NPI 1528957438
  Medicare reassignment Care Compare group NPD
• Michelle Anita Bergeron, MD

  • Hospice and Palliative Medicine (Surgery) Physician
  • Lafayette, LA
  • NPI 1174027973
  Medicare reassignment Care Compare group NPD
• Kaci Renee Bergquist, CNP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1124751854
  Medicare reassignment Care Compare group NPD
• Shauna Raye Bienvenu-Oubre

  • Family Medicine Physician
  • Sunset, LA
  • NPI 1538401666
  Medicare reassignment Care Compare group NPD
• David T Booher, MD

  • Hospitalist Physician
  • Lafayette, LA
  • NPI 1346250511
  Medicare reassignment Care Compare group NPD
• Matthew B Boudreaux, M.D.

  • Colon & Rectal Surgery Physician
  • Lafayette, LA
  • NPI 1245440577
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1437405883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-470-2000",
            "fax_number": "337-470-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-470-2000",
            "fax_number": "337-470-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES PHYSICIAN GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-470-2999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Imaging Center LLC (Lourdes Imaging Network)
• Lourdes Imaging Center LLC (Lourdes Imaging Network)
• Lourdes Imaging Center LLC (Lourdes Imaging Network)
• Lourdes Imaging Center LLC (Lourdes Imaging Network)
• Lourdes Pathologists Apmc
• Katy Lousteau
• Louvella H Granger (The Compounding Center Pharmacy)
• Britttany Louviere
• Dana A Louviere, RPH
• Kyla Jean Louviere

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.