Willcare, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

200512 Issued in LA

Legal business name

WILLCARE, LLC

Practice address

100 Drury LN
Lafayette, LA 70508-5702

Phone

(337) 269-4949

Fax

(337) 269-4950

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Delatte, M.D.NPI 1245253194

Title

Owner

Phone

(337) 269-4949

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephen J. Delatte, MD Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen J. Delatte, MD

  • Specialist
  • Lafayette, LA
  • NPI 1245253194
  Medicare reassignment NPD Authorized official
• Amanda Lauren Ray, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Lafayette, LA
  • NPI 1790118453
  NPD
• Staci Courtois

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1639022825
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1669675054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DRURY LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085702",
            "telephone_number": "337-269-4949",
            "fax_number": "337-269-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DRURY LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085702",
            "telephone_number": "337-269-4949",
            "fax_number": "337-269-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "DELATTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-269-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "200512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1590347",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen J. Delatte, MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Stephen J. Delatte, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margaret Ann Wiles, RN
• Tori Wiley
• Rebecca C Wilke, FNP
• Roberta Wilkerson
• Taylor Christine Wilkerson
• Andrea Willey
• William a. Bernard, MD, Inc.
• William a. Keaty, DDS Apdc
• William M Malone
• Brittney Williams-Wright, PLPC

• Plastic and Reconstructive Surgery Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.