Organization Active NPI

David J Jewell Apmc

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1770570855
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DAVID J JEWELL APMC
Practice address
901 Wilson St
Lafayette, LA 70503-2439
Phone
(337) 981-0305
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. David J Jewell, MD
Title
Owner/MD
Phone
(337) 981-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

901 Wilson St
Lafayette, LA 70503-2439

Mailing address

PO Box 61950
Lafayette, LA 70596-1950
Phone (337) 261-5151

Other identifiers 1

IdentifierTypeStateIssuer
1369837MedicaidLA

National Provider Directory

National Provider Directory

Locations

935 Camellia Blvd
Ste 101
Lafayette, LA 70508
Phone (333) 984-2036

935 Camellia Blvd
Lafayette, LA 70508
Phone (337) 984-2036

107 Front St
Ste 110
Vidalia, LA 71373

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1770570855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61950",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705961950",
            "telephone_number": "337-261-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032439",
            "telephone_number": "337-981-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J JEWELL APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "337-981-0305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1369837",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.