Pediatric Clinic of St Mary Parish Apmc
Organization Active NPI Pediatrics Physician · Morgan City, LA
NPI 1679569560 · NPPES record last updated Jul 13, 2010
Key facts
- NPI
- 1679569560
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- PEDIATRIC CLINIC OF ST MARY PARISH APMC
- Practice address
- 1055 David Dr
Morgan City, LA 70380-1300 - Phone
- (985) 384-2430
- Fax
- (985) 384-2473
- NPI assigned
- Sep 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimberly Thorguson, M.D.
- Title
- President
- Phone
- (985) 384-2430
Practitioners 9
-
Alana Gautreaux Andras, FNP-C
-
Abby A Burke, NP-C
-
Ashley M Hebert, APRN
-
Erica Menina, M.D.
-
Kimberly Thorguson, M.D.
-
Alyssa Marie Viet Vu, APRN, FNP-C
-
Olivia Haddad Walker, FNP-C
-
Oleitha Wilson-Ruffin, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0459946 | Pediatric Clinic,the of St Mary Parish | Provider-performed microscopy | Dec 22, 2027 |
National Provider Directory
Locations
1055 David Dr
Morgan City, LA 70380
Phone (985) 384-2430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
1055 David Dr
Morgan City, LA 70380-1300
Mailing address
1055 David Dr
Morgan City, LA 70380-1300
Phone (985) 384-2430
Other providers in Morgan City, LA
- Cristie P Pape
- Chandler Pasqua
- Mark David Paxton
- Pediacare Therapy Solutions
- Pediatouch Therapy Solutions LLC
- Dudley Pellegrin Jr.
- Nicole Marie Perry
- Quynh Pham
- Tuong N. Pham
- PHC - Morgan City LP
All providers in Morgan City, LA · Pediatrics Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.