South Louisiana Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH LOUISIANA MEDICAL ASSOCIATES

Practice address

1990 Industrial Boulevard
Houma, LA 70363-7055

Phone

(985) 868-9300

Fax

(985) 851-0053

NPI assigned

Apr 28, 2006

Last updated

Feb 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Garcia, MDNPI 1184665127

Title

Ceo Medical Director

Phone

(985) 868-9300

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• South Louisiana Medical Associates

  • Surgery Physician
  • Houma, LA
  • NPI 1942301379

  O20040113000589

  Same enrollment

Locations

Practitioners 130

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.

• Michael J Garcia, MD

  • Surgery Physician
  • Houma, LA
  • NPI 1184665127
  NPD (past) Authorized official
• Lucas Ainsworth, M.D.

  • Emergency Medicine Physician
  • Hammond, LA
  • NPI 1912386863
  NPD
• Allyson Michelle Barker, PA-C

  • Physician Assistant
  • Houma, LA
  • NPI 1356992416
  NPD
• David Isaac Beran, D.O.

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1962692517
  NPD
• Thomas Christopher Berry, MD

  • Surgery Physician
  • Morgan City, LA
  • NPI 1609094309
  NPD
• Sheila N Bonin, NP

  • Women's Health Nurse Practitioner
  • Houma, LA
  • NPI 1376581165
  NPD
• Jessica Ann Borne, MD

  • Diagnostic Radiology Physician
  • Houma, LA
  • NPI 1073535852
  NPD
• Janet Bryant Bradley, M.D.

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1487774527
  NPD
• Nina Claire Broussard, NP

  • Acute Care Nurse Practitioner
  • Houma, LA
  • NPI 1104312560
  NPD
• Dayton William Daberkow II, MD

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1497776413
  NPD
• Holly Daquana, NP

  • Family Nurse Practitioner
  • Houma, LA
  • NPI 1063458966
  NPD
• Terry Joseph Delord, MD

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1154359974
  NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1710944012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BOULEVARD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-868-9300",
            "fax_number": "985-851-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BOULEVARD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-868-9300",
            "fax_number": "985-851-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LOUISIANA MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "985-868-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441830",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Central la Human Services Authority (Terrebonne Assessment Center)
• South Central Louisiana Human (SCLHSA Primary Care Services)
• South la Dental Sleep Medicine LLC
• South Louisiana Health Center, LLC
• South Louisiana Medical Associates
• South Louisiana Medical Associates
• South Louisiana Rheumatology and Pain Clinic, LLC
• South Louisiana Wellness Center
• Southeast Neuroscience Center, LLC
• Southern Comfort Counseling

• Internal Medicine Physician in Houma, LA
• Providers in Houma, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.