Evangeline Primary Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD025579 Issued in LA

Legal business name

EVANGELINE PRIMARY CARE, LLC

Practice address

503 Jack Miller Rd
Ville Platte, LA 70586-5607

Phone

(337) 363-7036

NPI assigned

Apr 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Jake Lafleur, MDNPI 1578559407

Title

Owner

Phone

(337) 363-7036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

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

• Jeffery Jake Lafleur, M.D.

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1578559407
  Medicare reassignment NPD Authorized official
• Gregory J Ardoin, M.D.

  • Pulmonary Disease Physician
  • Alexandria, LA
  • NPI 1376633115
  NPD (past)
• Morgan Ashmore Hebert, FNP-C

  • Family Nurse Practitioner
  • Ville Platte, LA
  • NPI 1669193298
  NPD (past)

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1487970299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 JACK MILLER RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865607",
            "telephone_number": "337-363-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 JACK MILLER RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865607",
            "telephone_number": "337-363-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELINE PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "LAFLEUR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "JAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-363-7036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD025579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline Drug Store Inc
• Evangeline Medical & Nursing Supply, Inc.
• Evangeline MHT LLC
• Evangeline Parish School Board
• Evangeline Parish School Board
• Evangeline Surgical Clinic LLC
• Evangleine Council on Aging
• Kaycee M Everett, MA, BCBA
• Extremity Cma, LLC
• Sonya Ferguson

• Internal Medicine Physician in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.