Matthew Mack Abraham, LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

MD024082 Issued in LA

Legal business name

MATTHEW MACK ABRAHAM, LLC

Practice address

100 Asma Blvd
BLDG One, Ste 205
Lafayette, LA 70508-3858

Phone

(337) 289-5605

Fax

(337) 289-5609

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Mack Abraham, M.D.NPI 1174511794

Title

Owner

Phone

(337) 289-5605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Mack Abraham, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Lafayette, LA
  • NPI 1174511794
  Medicare reassignment NPD Authorized official
• Azman Kirk Bravo, PHYSICAL THERAPIST

  • Physical Therapist
  • Lafayette, LA
  • NPI 1578648747
  NPD (past)
• Jacqueline Bravo, P.T.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1417083320
  NPD (past)
• Eric Keith Fontenot, PT

  • Physical Therapist
  • Port Barre, LA
  • NPI 1255587994
  NPD (past)
• Randy Gomez, PT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1942320569
  NPD (past)
• Jill Hurley, COTR,CHT

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1407856008
  NPD (past)
• Janet Parker, P.T.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1598892416
  NPD (past)
• Anne Peltier, O.T.

  • Occupational Therapist
  • Broussard, LA
  • NPI 1831225457
  NPD (past)
• Elisa Raborn, P.T.

  • Physical Therapist
  • Abbeville, LA
  • NPI 1740369933
  NPD (past)
• Mary E. Towry, LOTR

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1477734085
  NPD (past)
• Dawn Angela Rouse, P.T.

  • Physical Therapist
  • Brevard, NC
  • NPI 1326040270
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548314495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ASMA BLVD",
            "address_2": "BLDG ONE, STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083858",
            "telephone_number": "337-289-5605",
            "fax_number": "337-289-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ASMA BLVD",
            "address_2": "BLDG ONE, STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083858",
            "telephone_number": "337-289-5605",
            "fax_number": "337-289-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW MACK ABRAHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-289-5605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "LA",
            "license": "MD024082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Ann Matt, BCABA
• Damian Lark Matt, LPC
• Tammy Matte, MA, PLPC
• Matthew B. Boudreaux, M.D., L.L.C.
• Matthew C Holden MD Inc
• Loryn Culver Matthews, NP
• Mollie Margaret Matthews, SLP
• Laura K Mattingly, PLPC
• Aimee Mattox
• Lesha May

• Sleep Medicine (Internal Medicine) Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Sleep Medicine (Internal Medicine) Physician in Louisiana

• 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.
• 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.