Organization Active NPI

Lafayette Pediatric Neurology Center, LLC

  • Pediatrics Physician
  • Lafayette, LA
National Provider Identifier
1457557977
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LAFAYETTE PEDIATRIC NEUROLOGY CENTER, LLC
Practice address
4650 Ambassador Caffery Pkwy
Suite 103
Lafayette, LA 70508-6926
Phone
(337) 993-7391
NPI assigned
Jun 22, 2007
Organization subpart
Yes
Parent organization
HTI HOSPITAL HOLDINGS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Robert J Lagesse
Title
Vice President
Phone
(504) 988-7044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X LA Primary

Addresses

Primary practice location

4650 Ambassador Caffery Pkwy
Suite 103
Lafayette, LA 70508-6926

Mailing address

4650 Ambassador Caffery Pkwy
Suite 103
Lafayette, LA 70508-6926
Phone (337) 993-7391

National Provider Directory

National Provider Directory

Locations

4650 Ambassador Caffery Pkwy
Ste 103
Lafayette, LA 70508
Phone (337) 993-7391

Practitioners & affiliated clinicians

Practitioners 2

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1457557977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 103",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086926",
            "telephone_number": "337-993-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 103",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086926",
            "telephone_number": "337-993-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE PEDIATRIC NEUROLOGY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HTI HOSPITAL HOLDINGS, INC",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "LAGESSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "504-988-7044"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": null,
            "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 Jul 28, 2008; 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.