Doreen T. Abadco, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Lafayette, LA
NPI 1629184635 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629184635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 11594R (LA)
- Practice address
- 114 Hospital Dr
Lafayette, LA 70503-2825 - Phone
- (337) 269-5600
- Fax
- (337) 269-5812
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11594R | LA | MD | Pain Medicine (Anesthesiology) Physician |
| MD-050174-L | PA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blair County Anesthesia, P.C. | Past | Accepting new patients | |
| Guardian Anesthesia Services, LLC | Past | Accepting new patients | |
| Lexington Anesthesia Associates, Inc. | Past | Accepting new patients | |
| Southern Pain & Anesthesia Consultants, LLC | Pain Medicine | Past | Accepting new patients |
| Southpark Acquisition Company LLC | Past |
Accepting new patients | |
| Southern Pain & Anesthesia Consultants LLC | Pain Medicine | Past | Accepting new patients |
| Western Pennsylvania Anesthesia Associates, LTD. | Pain Medicine | Past | Accepting new patients |
| Dr Wadhwa & Dr Oberoi LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 11594R | LA | Yes |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD-050174-L | PA |
Addresses
Primary practice location
114 Hospital Dr
Lafayette, LA 70503-2825
Mailing address
PO Box 80384
Lafayette, LA 70598-0384
Phone (337) 269-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679224 | Medicaid | LA |
Other providers in Lafayette, LA
- Aa Angel Care Inc
- Aac Medical Staff
- Chantelle Viola Aaron
- Paulette Marie Aaron
- ABA Services of the South
- Jennifer Webb Abadie
- Abc Eyewear for Children
- Abc Rehab & Chiropractic LLC
- Myriam Alfred Abdel-Sayed
- Halimo Ahmed Abdi
All providers in Lafayette, LA · Pain Medicine (Anesthesiology) Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.