Kermen D. Beauchamp, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10106R Issued in LA

Practice address

3521 Highway 190
Suite R
Eunice, LA 70535-5135

Phone

(337) 457-2301

NPI assigned

Jun 15, 2006

Last updated

Oct 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acmkbeauc@yourcarecommunity.org
• Direct secure messaging: kermen.beauchamp.1@27785.direct.athenahealth.com

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.

• CLHG-Acadian LLC

  dba Acadian Medical Center

  • Family Medicine Physician
  • Eunice, LA
  • NPI 1942977657

  Pediatrics

  Medicare reassignment NPD
• CLHG-Acadian, LLC

  dba Acadiana Surgical Specialties

  • Urology Physician
  • Eunice, LA
  • NPI 1598620445
  NPD
• CLHG-Acadian LLC

  dba Church Point Medical Clinic by AMC

  • Rural Health Clinic/Center
  • Church Point, LA
  • NPI 1043936164
  NPD (past)
• CLHG-Acadian, LLC

  dba Acadian Medical Center

  • General Acute Care Hospital
  • Eunice, LA
  • NPI 1396394961
  NPD (past)
• Crowley Home Health Services, Inc.

  dba Professional Home Health of Southwest LA

  • Home Health Agency
  • Crowley, LA
  • NPI 1235136227
  NPD (past)
• Ville Platte Medical Center, LLC

  dba Acadian Medical Center, A Campus of Mercy Regional Medical Center

  • Rural Acute Care Hospital
  • Eunice, LA
  • NPI 1477644284
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1619911310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 HIGHWAY 190",
            "address_2": "SUITE R",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355135",
            "telephone_number": "337-457-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 HIGHWAY 190",
            "address_2": "SUITE R",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355135",
            "telephone_number": "337-457-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "KERMEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "10106R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1976440",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Bacon, APRN, FNP-C
• Donald W Barnes, MD
• Bayou State Group Inc
• Bayou State Group, Inc
• Lane Bazar
• Aurdie Kent Bellard, PD
• Bellard's Home Medical Supply, LLC
• Bellards Family Pharmacy Inc
• Kimberly Lomas Bellon, NP
• Shelbie Lee Bergeaux, MA

• Pediatrics Physician in Eunice, LA
• Providers in Eunice, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.