Active NPI
Charles J. Monier, Jr., MD, LLC
- Gastroenterology Physician
- Thibodaux, LA
National Provider Identifier
1508910969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CHARLES J. MONIER, JR., MD, LLC
- Practice address
- 602 N Acadia Rd
Suite 101
Thibodaux, LA 70301-4847 - Phone
- (985) 446-1200
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Celeste Ponvelle
- Title
- Administrator
- Phone
- (985) 446-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
602 N Acadia Rd
Suite 101
Thibodaux, LA 70301-4847
Mailing address
PO Box 1178
Thibodaux, LA 70302-1178
Phone (800) 639-2519
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2900051 | Other | LA | UNITED HEALTHCARE |
| 4552584 | Other | LA | AETNA |
| DD942 | Other | LA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
430 Corporate Dr
Ste C
Houma, LA 70360
Phone (985) 709-0301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508910969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1178",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703021178",
"telephone_number": "800-639-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N ACADIA RD",
"address_2": "SUITE 101",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014847",
"telephone_number": "985-446-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES J. MONIER, JR., MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PONVELLE",
"authorized_official_first_name": "CELESTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "985-446-1200"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2900051",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4552584",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD942",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.