Individual provider Active NPI

Maurice B. Faugot, M.D.

  • Pediatrics Physician
  • New Iberia, LA
National Provider Identifier
1467418277
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD014151 Issued in LA
Practice address
295 Indest St
New Iberia, LA 70563-1719
Phone
(337) 365-5437
Fax
(337) 369-6922
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD014151 LA Primary
Pediatrics Physician 208000000X LA014151 LA

Addresses

Primary practice location

295 Indest St
New Iberia, LA 70563-1719

Mailing address

295 Indest St
New Iberia, LA 70563-1719
Phone (337) 365-5437

Other identifiers 1

IdentifierTypeStateIssuer
1304336MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LA014151LAMDPediatrics Physician
MD014151LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Pediatrics Pediatrics PastSince May 9, 2021 Accepting new patients
Iberia Pediatrics Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1467418277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 INDEST ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705631719",
            "telephone_number": "337-365-5437",
            "fax_number": "337-369-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 INDEST ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705631719",
            "telephone_number": "337-365-5437",
            "fax_number": "337-369-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUGOT",
        "first_name": "MAURICE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD014151",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "LA014151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304336",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.