Rosemary St. Clergy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

017877 Issued in LA

Practice address

2130 Kaliste Saloom Rd
Suite 101
Lafayette, LA 70508-6143

Phone

(337) 981-5085

Fax

(337) 881-5466

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Our Lady of Lourdes Regional Medical Center

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1538181128
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1497780068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 KALISTE SALOOM RD",
            "address_2": "SUITE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086143",
            "telephone_number": "337-981-5085",
            "fax_number": "337-881-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 KALISTE SALOOM RD",
            "address_2": "SUITE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086143",
            "telephone_number": "337-981-5085",
            "fax_number": "337-881-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CLERGY",
        "first_name": "ROSEMARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1355569",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00972527",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Marys Imaging Center II
• St Marys Imaging Center II
• Luke Wayne St Pierre, DDS
• St Roy Family Care Inc
• St Roy Family Care LLC
• Mark A. St. Cyr, MD
• St. Francis Medical Clinic, LLC
• Katelyn Marie St. Germain, DO
• ZZ Sloan St. Germain, FNP-C, MSN
• St. Joseph Hospice of Acadiana, L.L.C.

• 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 Nov 11, 2011; 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.