Manuel Medical Clinic, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MANUEL MEDICAL CLINIC, INC.

Practice address

104 Genevieve Dr
Lafayette, LA 70503-4811

Phone

(337) 984-0110

Fax

(337) 981-7210

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Powlin V Manuel, MD

Title

President

Phone

(337) 984-0110

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Manuel Medical Clinic, Inc. site 002 Other name

Locations

Practitioners 2

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

• Leanne R Louviere, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Abbeville, LA
  • NPI 1891027660

  Pediatrics

  NPD (past)
• Jaime Suhrhoff Woodring, NP

  • Pediatric Nurse Practitioner
  • Lafayette, LA
  • NPI 1619145786

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1679620603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034811",
            "telephone_number": "337-984-0110",
            "fax_number": "337-981-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034811",
            "telephone_number": "337-984-0110",
            "fax_number": "337-981-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "POWLIN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-984-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP05389",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP07960",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138332",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033901",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171689",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2381369",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manuel Medical Clinic, Inc. site 002",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Manuel Medical Clinic, Inc. site 002",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Avery Mannina
• Nina S Manning, NP
• Amanda Rivault Manor, M.S. CCC-SLP
• Alvaro Frederico Manrique Garcia, M.D.
• Himani Reddy Manthena, MD.
• Camille Deshotel Manuel, LOTR
• Carrie R. Manuel, CRNA
• Chad B Manuel, M.D.
• Donovan Manuel
• Francine A Manuel, M.D.

• 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 Apr 21, 2020; 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.