NPIMap

Organization Active NPI

Lafayette Health Ventures, Inc

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1679922249
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAFAYETTE HEALTH VENTURES, INC
Practice address
917 W Gloria Switch Road
Lafayette, LA 70507-2309
Phone
(337) 886-6455
Fax
(337) 886-6459
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Al Patin
Title
SVP
Phone
(337) 289-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

917 W Gloria Switch Road
Lafayette, LA 70507-2309

Mailing address

121 Audubon Blvd
Lafayette, LA 70503-2606

Other names 1

  • Family Health Plaza Carencro DME Doing business as

National Provider Directory

National Provider Directory

Locations

121 Audubon Blvd
Lafayette, LA 70503
Phone (337) 289-8944

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1679922249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 AUDUBON BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W GLORIA SWITCH ROAD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072309",
            "telephone_number": "337-886-6455",
            "fax_number": "337-886-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE HEALTH VENTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "PATIN",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "337-289-8951"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Plaza Carencro DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.