NPIMap

Organization Active NPI

Hospital Service District No. 1 of the Parish of St. Mary

Doing business as Bayou Bend Health System

  • Surgery Physician
  • Franklin, LA
National Provider Identifier
1699895953
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. MARY
Doing business as
Bayou Bend Health System
Practice address
1097 Northwest Blvd
Franklin, LA 70538-3407
Phone
(337) 828-5099
Fax
(337) 828-5246
NPI assigned
Mar 30, 2007
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Ms. Stephanie A Guidry
Title
Ceo
Phone
(337) 828-0760

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Obstetrics & Gynecology Physician 207V00000X 016556 LA
Orthopaedic Surgery Physician 207X00000X NU
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1097 Northwest Blvd
Franklin, LA 70538-3407

Mailing address

PO Box 577
Franklin, LA 70538-0577
Phone (337) 828-0760

Other identifiers 1

IdentifierTypeStateIssuer
1795992MedicaidLA

Other names 1

  • Bayou Bend Health System Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000730 LA Part B Supplier - Clinic/Group Practice 6800782541 Receives reassigned benefits from 28 practitioners
Practice locations: Baldwin, LA; Franklin, LA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1029 Northwest Blvd
Ste 101
Franklin, LA 70538

1501 Hospital Ave
Franklin, LA 70538
Phone (318) 828-0760

1519 Main St
Franklin, LA 70538
Phone (337) 828-0237

726 N Acadia Rd
#1000
Thibodaux, LA 70301

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1699895953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705380577",
            "telephone_number": "337-828-0760",
            "fax_number": "337-828-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 NORTHWEST BLVD",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383407",
            "telephone_number": "337-828-5099",
            "fax_number": "337-828-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. MARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-828-0760",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "016556",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795992",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayou Bend Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, LA

Sources for this page

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