FMC Associates of New Iberia

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

015812 Issued in LA

Legal business name

FMC ASSOCIATES OF NEW IBERIA

Practice address

2309 E Main St
Suite 400
New Iberia, LA 70560-4046

Phone

(337) 367-0271

Fax

(337) 364-6139

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jose Mata, M.D.

Title

General Partner

Phone

(337) 367-0271

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1780033068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "SUITE 400",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-367-0271",
            "fax_number": "337-364-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "SUITE 400",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-367-0271",
            "fax_number": "337-364-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC ASSOCIATES OF NEW IBERIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "337-367-0271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "015812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333093",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maurice B. Faugot, M.D.
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• Bart Anthony Folse, ATC/L, OT-C
• Glenn Fondal
• Alexandra Darby Fontenot, P.T.
• David P Fontenot, MD
• Emma Harman Fontenot

• Family Medicine Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.