John C Hildenbrand IV LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

23919 Issued in OK

Legal business name

JOHN C HILDENBRAND IV LLC

Practice address

604 N Acadia Rd
Suite 508
Thibodaux, LA 70301-4897

Phone

(985) 625-2200

Fax

(985) 625-2206

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kim Marie Legendre, M.B.A.

Title

Administrator

Phone

(985) 625-2200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1669606646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 508",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 508",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C HILDENBRAND IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "LEGENDRE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-625-2200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "23919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Thibodaux, LA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.