The Children's Clinic of Thibodaux ,L.L.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

09890R Issued in LA

Legal business name

THE CHILDREN'S CLINIC OF THIBODAUX ,L.L.C.

Practice address

807 Ridgefield Rd
Thibodaux, LA 70301-2725

Phone

(985) 447-9045

Fax

(985) 447-3349

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sheila Pitre, M.D.

Title

M.D.

Phone

(985) 447-9045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750586541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 RIDGEFIELD RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012725",
            "telephone_number": "985-447-9045",
            "fax_number": "985-447-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 RIDGEFIELD RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012725",
            "telephone_number": "985-447-9045",
            "fax_number": "985-447-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S CLINIC OF THIBODAUX ,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITRE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "985-447-9045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "09890R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.