Timothy John Quebedeaux, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

200195 Issued in LA

Practice address

7777 Hennessy Blvd
Baton Rouge, LA 70808-4300

Phone

(225) 765-1763

NPI assigned

Mar 5, 2009

Last updated

May 4, 2009By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tquebedeaux1443389@direct.ochsner.org

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

• Lafayette Health Ventures Inc

  dba dba Family Health Plaza

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1417986092
  Medicare reassignment Care Compare group NPD
• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment NPD
• Ambassador Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1316030844
  Medicare reassignment
• Coolidge Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1801140934
  Medicare reassignment
• Red Stick Emergency Group LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1275705998
  Medicare reassignment
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• Lafayette Health Ventures Inc

  dba Jennings American Legion Hospital Physician Group

  • Anesthesiology Physician
  • Jennings, LA
  • NPI 1063124568
  NPD
• Lafayette Health Ventures, Inc

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1467687186
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1558501452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT AT952639",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311922639",
            "telephone_number": "888-447-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEBEDEAUX",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1451703",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quantrille Counseling LLC
• Brett Edward Quantrille, LCSW
• Quantum Laboratories LLC
• Emma Quebedeaux
• Kelly Quebedeaux, DPT
• Maureen Anne Quern, PT, DPT
• Quicare Transportation Services LLC
• India Quiett
• Miton H Quiett Sr.
• Yolanda Quiett

• Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.