Individual provider Active NPI

Edward Lafleur, MD

  • Family Medicine Physician
  • Youngsville, LA
National Provider Identifier
1629050398
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025580 Issued in LA
Practice address
2445 E Milton Ave
Youngsville, LA 70592-5346
Phone
(337) 470-3260
Fax
(337) 856-6388
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 025580 LA Primary

Addresses

Primary practice location

2445 E Milton Ave
Youngsville, LA 70592-5346

Mailing address

2445 E Milton Ave
Youngsville, LA 70592-5346
Phone (337) 470-3260

Other identifiers 1

IdentifierTypeStateIssuer
1042765MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040119000354 LA Practitioner - Family PracticePractitioner - Addiction Medicine 0244131647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2445 E Milton Ave
Youngsville, LA 70592-5346
Phone (337) 451-5952

Hospital & facility affiliations

  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025580LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecl Group, LLC CurrentSince Mar 17, 2015 Accepting new patients
Edward Lafleur MD Family Medicine PastSince Aug 1, 2004 Accepting new patients

Locations

2445 E Milton Ave
Youngsville, LA 70592
Phone (337) 470-3260

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1629050398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 E MILTON AVE",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925346",
            "telephone_number": "337-470-3260",
            "fax_number": "337-856-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 E MILTON AVE",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925346",
            "telephone_number": "337-470-3260",
            "fax_number": "337-856-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLEUR",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042765",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.