Active NPI
Douglas L. Abadco, MD, Apmc
- Medical Specialty Clinic/Center
- Lafayette, LA
National Provider Identifier
1770681728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 09390R
- Legal business name
- DOUGLAS L. ABADCO, MD, APMC
- Practice address
- 4540 Ambassador Caffery Pkwy
Suite C-130
Lafayette, LA 70508-6928 - Phone
- (337) 988-2903
- Fax
- (337) 988-2904
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas L. Abadco, M.D.
- Title
- President
- Phone
- (337) 988-2903
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 09390R | LA | Primary |
Addresses
Primary practice location
4540 Ambassador Caffery Pkwy
Suite C-130
Lafayette, LA 70508-6928
Mailing address
PO Box 53223
Lafayette, LA 70505-3223
Phone (337) 988-2903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1937843 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770681728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53223",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705053223",
"telephone_number": "337-988-2903",
"fax_number": "337-988-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 AMBASSADOR CAFFERY PKWY",
"address_2": "SUITE C-130",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086928",
"telephone_number": "337-988-2903",
"fax_number": "337-988-2904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS L. ABADCO, MD, APMC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABADCO",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-988-2903",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "LA",
"license": "09390R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1937843",
"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 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.