NPIMap

Organization Active NPI

Stephen Goldware, M.D. a Professional Medical Corporation

  • Neurological Surgery Physician
  • Lafayette, LA
National Provider Identifier
1619389889
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD.009998 Issued in LA
Legal business name
STEPHEN GOLDWARE, M.D. A PROFESSIONAL MEDICAL CORPORATION
Practice address
111 Saint Louis St
Lafayette, LA 70506-4538
Phone
(337) 456-5500
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Dr. Stephen Goldware, M.D.
Title
Self
Phone
(337) 456-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X MD.009998 LA Primary

Addresses

Primary practice location

111 Saint Louis St
Lafayette, LA 70506-4538

Mailing address

PO Box 52827
Lafayette, LA 70505-2827
Phone (337) 456-5500

National Provider Directory

National Provider Directory

Locations

111 Saint Louis St
Lafayette, LA 70506
Phone (337) 456-5500

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1619389889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52827",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052827",
            "telephone_number": "337-456-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAINT LOUIS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064538",
            "telephone_number": "337-456-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN GOLDWARE, M.D. A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "GOLDWARE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "337-456-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "MD.009998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.