Lacey Mathilda Godeaux, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

205372 Issued in LA

Practice address

1202 S Tyler St
Covington, LA 70433-2330

Phone

(985) 892-3225

Fax

(985) 892-7677

NPI assigned

Jul 4, 2008

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Louisiana State University School of Medicine in New Orleans, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Anesthesia Care STPH LLCGroup PAC ID 0749255909, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
• Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Anesthesia Care STPH, LLC

  • Anesthesiology Physician
  • Covington, LA
  • NPI 1669475190
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Baton Rouge Medical Center LLC

  dba Ochsner Medical Center Baton Rouge

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1053360651
  Care Compare affiliation
• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  dba St Tammany Physicians Network

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582

  Hospital

  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  dba Northlake Pulmonary Associates at St Tammany Parish Hospital

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1285285874

  Hospital

  Care Compare affiliation
• St. Tammany Parish Hospital Service District No 1

  dba St. Tammany Parish Hospital

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Care Compare affiliation

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1720241276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INNWOOD DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339123",
            "telephone_number": "985-892-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332330",
            "telephone_number": "985-892-3225",
            "fax_number": "985-892-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODEAUX",
        "first_name": "LACEY",
        "middle_name": "MATHILDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-04",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "LL30817",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "205372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304402",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08471706",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunne Pace Glasgow, FNP
• Daphne Ann Glindmeyer, MD
• Global Care LLC (Global Northshore Pain Management LLC)
• Gloria B Coker, MD
• Gloria C Solorzano, LCSW, LLC (Gloria C Solorzano, LCSW)
• Emily Goerges, B.C.-H.I.S.
• Bari-Lisa Goff, LPC
• Aimee Gold, LCSW
• Geoffrey Logan Goldsberry, DO
• Paula G Gomila, MS, CCC/SLP

• Anesthesiology Physician in Covington, LA
• Providers in Covington, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.