Active NPI
Steve Lawrence Gaudin, M.D.
- Family Medicine Physician
- Ponchatoula, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L11850R
- Practice address
- 105 E Oak St
Ponchatoula, LA 70454-2619 - Phone
- (985) 386-6198
- Fax
- (985) 386-6223
- NPI assigned
- Oct 17, 2005
- Last updated
- Nov 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L11850R | LA | Primary |
Addresses
Primary practice location
105 E Oak St
Ponchatoula, LA 70454-2619
Mailing address
PO Box 129
Ponchatoula, LA 70454-0129
Phone (985) 386-6198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1950009 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 E Oak St
Ponchatoula, LA 70454-2619
Phone 9853866198125
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen's Family Practice Clinic of Ponchatoula, L.L.P. | Family Medicine | Current | Accepting new patients |
| North Oaks Medical Center, LLC | Past | Accepting new patients | |
| NS'NG, Inc. | Past | Accepting new patients |
Locations
105 E Oak St
Ponchatoula, LA 70454
Phone (504) 386-6198
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71800
- stevegaudin@allensfp.directbygreenway.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hammond Nursing Home | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2007 Jun 1, 2007 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Hammond Nursing Home
- Skilled Nursing Facility
- Hammond, LA
- NPI 1912079526
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Ponchatoula, LA
- NPI 1992793095
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hammond, LA
- NPI 1912904707
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
-
dba Hammond Nursing Home
- Skilled Nursing Facility
- Hammond, LA
- NPI 1912079526
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1649269390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704540129",
"telephone_number": "985-386-6198",
"fax_number": "985-386-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E OAK ST",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704542619",
"telephone_number": "985-386-6198",
"fax_number": "985-386-6223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDIN",
"first_name": "STEVE",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "L11850R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1950009",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponchatoula, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.