Active NPI
Cory Lemoine, DO
- Family Medicine Physician
- Broussard, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 309437
- Practice address
- 109 Saint Nazaire Rd
Broussard, LA 70518-4257 - Phone
- (337) 470-7450
- Fax
- (337) 839-0110
- NPI assigned
- Apr 18, 2016
- Last updated
- Mar 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 309437 | LA | Primary |
Addresses
Primary practice location
109 Saint Nazaire Rd
Broussard, LA 70518-4257
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-7580
Other practice location 1
3801 North Blvd
Baton Rouge, LA 70806-3825
Phone (225) 387-7899
Other practice location 2
2647 S Saint Elizabeth Blvd Ste 308
Gonzales, LA 70737-5020
Phone (225) 765-5500
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clemoine21666@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | clemoine21666@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2990
Hospital & facility affiliations
- Lourdes Home Health
- Vitalcaring Group
- Our Lady of Lourdes Regional Medical Center, Inc
- Iberia Medical Center
- Ochsner Lafayette General Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Lourdes Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Lourdes After Hours LLC | Current | Accepting new patients | |
| Lourdes After Hours LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
109 Saint Nazaire Rd
Ste B
Broussard, LA 70518
3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675
2647 S Saint Elizabeth Blvd
Ste 308
Gonzales, LA 70737
Phone (225) 647-5017
302 Rue Louis Xiv
Lafayette, LA 70508
4525 Ambassador Caffery Pkwy
Lafayette, LA 70508
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
Interoperability endpoints
- clemoine21666@direct.casso.us.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1437405883
-
- Urgent Care Clinic/Center
- Lafayette, LA
- NPI 1649297730
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
Family Medicine
-
- Urgent Care Clinic/Center
- Carencro, LA
- NPI 1669774923
-
dba Our Lady of the Lake Children's Health Developmental Center at McMains
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
dba OLOL Physician Surgical Specialty
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba VitalCaring Group
- Home Health Agency
- Lafayette, LA
- NPI 1881693182
-
dba Iberia Medical Center
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
dba Iberia Medical Center
- General Acute Care Hospital
- New Iberia, LA
- NPI 1285601088
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1760836597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "337-470-7580",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 SAINT NAZAIRE RD",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705184257",
"telephone_number": "337-470-7450",
"fax_number": "337-839-0110"
}
],
"practiceLocations": [
{
"address_1": "3801 North Blvd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708063825",
"country_code": "US",
"telephone_number": "225-387-7899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2647 S Saint Elizabeth Blvd Ste 308",
"address_purpose": "LOCATION",
"city": "Gonzales",
"state": "LA",
"postal_code": "707375020",
"country_code": "US",
"telephone_number": "225-765-5500",
"fax_number": "225-765-9419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMOINE",
"first_name": "CORY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-18",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "309437",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clemoine21666@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "clemoine21666@direct.casso.us.com",
"address_1": "109 Saint Nazaire Rd",
"city": "Broussard",
"state": "LA",
"country_code": "US",
"postal_code": "705184257",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "109 Saint Nazaire Rd",
"city": "Broussard",
"state": "LA",
"country_code": "US",
"postal_code": "705184257",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clemoine21666@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "clemoine21666@direct.casso.us.com",
"address_1": "2647 S Saint Elizabeth Blvd Ste 308",
"city": "Gonzales",
"state": "LA",
"country_code": "US",
"postal_code": "707375020",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2647 S Saint Elizabeth Blvd Ste 308",
"city": "Gonzales",
"state": "LA",
"country_code": "US",
"postal_code": "707375020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Broussard, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.