NPIMap

Organization Active NPI

Eugene T Stueben MD Inc

  • Specialist
  • Lafayette, LA
National Provider Identifier
1659547537
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
013279 Issued in LA
Legal business name
EUGENE T STUEBEN MD INC
Practice address
601 W Saint Mary Blvd
Suite 310
Lafayette, LA 70506-3568
Phone
(337) 235-7824
Fax
(337) 233-5408
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mrs. Linda Meche
Title
Office Manager
Phone
(337) 235-7824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 013279 LA Primary

Addresses

Primary practice location

601 W Saint Mary Blvd
Suite 310
Lafayette, LA 70506-3568

Mailing address

601 W Saint Mary Blvd
Suite 310
Lafayette, LA 70506-3568
Phone (337) 235-7824

Other identifiers 1

IdentifierTypeStateIssuer
1182907MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1659547537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "SUITE 310",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-235-7824",
            "fax_number": "337-233-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "SUITE 310",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-235-7824",
            "fax_number": "337-233-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE T STUEBEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MECHE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-235-7824",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "013279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1182907",
            "state": "LA"
        }
    ],
    "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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.