Abbeville Emergency Group LLC
Organization Active NPI Emergency Medicine Physician · Abbeville, LA
NPI 1760799290 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1760799290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ABBEVILLE EMERGENCY GROUP LLC
- Practice address
- 118 N Hospital Dr
Abbeville, LA 70510-4039 - Phone
- (337) 893-5466
- NPI assigned
- Sep 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Lisha C Falk
- Title
- VP of Contracting
- Phone
- (337) 609-1221
Practitioners 71
-
Brian Curtis Adams, M.D., M.P.H.
-
Shavondali Harris Cawthorne, FNP-C
-
Rick Joe Faul, M.D.
-
Ross John Fremin, MD
-
Kevin Paul Karam, MD
-
Lisa A Mazoch, MD
-
Lori A Netterville, NP-C
-
John Wesley Smith, M.D.
-
Trung Bao Le, M.D.
-
Michael Sonier Jr., M.D.
-
Kalei Goodin, FNP-C
-
Brent Eugene Hebert, M.D.
-
Damian Broussard, F.N.P
-
Glen Paul Carbo, FNP
-
C Clay Craighead III, M.D.
-
Lawrence H Cresswell III, D.O.
-
Mary Dahlen, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101221000525 | LA | Part B Supplier - Clinic/Group Practice | 3375731185 |
Receives reassigned benefits from 70 practitioners Practice locations: Abbeville, LA |
National Provider Directory
Locations
118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
118 N Hospital Dr
Abbeville, LA 70510-4039
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2130579 | Medicaid | LA |
Other providers in Abbeville, LA
- A Plus Home Care Services LLC
- A Plus Home Care Services LLC
- A Plus Home Care Services LLC
- Abbeville Chiropractic Clinic, a.P.C.C.
- Abbeville Diagnosic Center LLC
- Abbeville Family Dental
- Abbeville General Hosp Phcy
- Abbeville General Hospital
- Abbeville General Hospital
- Abbeville General Hospital
All providers in Abbeville, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.