Organization Active NPI

Acadiana Foot Centers LLC

  • Foot & Ankle Surgery Podiatrist
  • Lafayette, LA
National Provider Identifier
1639205388
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ACADIANA FOOT CENTERS LLC
Practice address
203 W Brentwood Blvd
Ste 2
Lafayette, LA 70506-6190
Phone
(337) 981-4001
Fax
(337) 981-5148
NPI assigned
Feb 26, 2007
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Mrs. Kathleen M Gaspard
Title
Practice Manager
Phone
(337) 981-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

203 W Brentwood Blvd
Ste 2
Lafayette, LA 70506-6190

Mailing address

203 W Brentwood Blvd
Ste 2
Lafayette, LA 70506-6190
Phone (337) 981-4001

Other practice location 1

3521 Highway 190 Ste Q
Eunice, LA 70535-5135
Phone (337) 981-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053896 LA DME Supplier - Physician - Podiatry 1759492325 Practice locations: Lafayette, LA
O20120209000125 LA Part B Supplier - Clinic/Group Practice 1759492325 Receives reassigned benefits from 2 practitioners
Practice locations: Eunice, LA; Lafayette, LA

National Provider Directory

National Provider Directory

Locations

100 Champagne Blvd
Breaux Bridge, LA 70517
Phone (318) 332-2242

3521 Highway 190
Ste Q
Eunice, LA 70535
Phone (337) 981-4001

203 W Brentwood Blvd
Ste 2
Lafayette, LA 70506
Phone (337) 783-3624

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1639205388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W BRENTWOOD BLVD",
            "address_2": "STE 2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066190",
            "telephone_number": "337-981-4001",
            "fax_number": "337-981-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W BRENTWOOD BLVD",
            "address_2": "STE 2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066190",
            "telephone_number": "337-981-4001",
            "fax_number": "337-981-5148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3521 Highway 190 Ste Q",
            "address_purpose": "LOCATION",
            "city": "Eunice",
            "state": "LA",
            "postal_code": "705355135",
            "country_code": "US",
            "telephone_number": "337-981-4001",
            "fax_number": "337-981-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACADIANA FOOT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "GASPARD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "337-981-4001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "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 Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.