Erath Family Doctor Clinc, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ERATH FAMILY DOCTOR CLINC, INC

Practice address

402 E Edwards St
Erath, LA 70533-4114

Phone

(337) 937-5803

Fax

(337) 937-5806

NPI assigned

Sep 10, 2008

Last updated

Nov 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John S Thibodeaux, MDNPI 1144243007

Title

President

Phone

(337) 937-5803

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Sulie Thibodeaux, MD

  • Family Medicine Physician
  • Erath, LA
  • NPI 1144243007
  NPD Authorized official

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1770732109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E EDWARDS ST",
            "city": "ERATH",
            "state": "LA",
            "postal_code": "705334114",
            "telephone_number": "337-937-5803",
            "fax_number": "337-937-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E EDWARDS ST",
            "city": "ERATH",
            "state": "LA",
            "postal_code": "705334114",
            "telephone_number": "337-937-5803",
            "fax_number": "337-937-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERATH FAMILY DOCTOR CLINC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-937-5803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adaptive Homes of Acadiana
• Jacob Paul Broussard, ATC, LAT
• Scotty Paul Broussard, PHARMACIST
• Cashway Pharmacy of Erath L.L.C. (cashway pharmacy of erath)
• D and L Family Drug Store (Sav Ins Drugs)
• Erath RX Inc (Sav Ins Drugs)
• Troy Renard Guilbeaux, PHARMD
• HNC Group, LLC
• Heather Delcambre Landry, RN IBCLC
• Lauren Grace Lege

• Clinic/Center in Erath, LA
• Providers in Erath, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.