Derek Baumbouree, MD, Apmc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

022823 Issued in LA

Legal business name

DEREK BAUMBOUREE, MD, APMC

Practice address

324 E Farrel Rd
Lafayette, LA 70508-7106

Phone

(337) 984-2444

Fax

(337) 988-8885

NPI assigned

Jan 11, 2017

Organization subpart

No

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

Authorized official

Name

Derek Baumbouree, MD

Title

Owner

Phone

(337) 984-2444

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1669918926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E FARREL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087106",
            "telephone_number": "337-984-2444",
            "fax_number": "337-988-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E FARREL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087106",
            "telephone_number": "337-984-2444",
            "fax_number": "337-988-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK BAUMBOUREE, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "BAUMBOUREE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-984-2444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "022823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Health and Hospitals
• Department of Health and Hospitals
• Annie Der Avedissian, MS, MD
• Carl S. Deranger, CRNA
• Bobbi Eugenia Deras, NP
• Claire Kaufman Derge, OT
• Dermatology and Allergy Clinic of South Louisiana LTD Apmc
• Dermatology Center of Acadiana LLC
• Brandi Armentor Derouen
• Charli Rhea Derouen, MS, LAC, CCS

• Pediatrics Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.