Active NPI
Clayton Michael Maraist, M.D.
- Obstetrics & Gynecology Physician
- New Iberia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD.207826
- Practice address
- 2309 E Main St
Suite 200
New Iberia, LA 70560-4046 - Phone
- (337) 256-8779
- Fax
- (337) 359-4997
- NPI assigned
- May 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD.207826 | LA | Primary |
Addresses
Primary practice location
2309 E Main St
Suite 200
New Iberia, LA 70560-4046
Mailing address
PO Box 12137
New Iberia, LA 70562-2137
Phone (337) 256-8779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144235 | Medicaid | LA |
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
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in Shreveport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1890 W Gauthier Rd
135 Obstetrics and Gynecology of Soutwe
Lake Charles, LA 70605-7179
Phone (337) 480-5510
2900 2ND Ave
Lake Charles, LA 70601-8906
Phone (337) 480-8175
Hospital & facility affiliations
- Lake Charles Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207826 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iberia Medical Center Physician Practice Network | Current | Accepting new patients | |
| Hospital Service District No. 1 of Iberia Parish | Current | Accepting new patients | |
| LCMS Obstetrics and Gynecology LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| LCMS Rehabilitation Institute of Southwest Louisiana | Current | Accepting new patients | |
| Southwest Louisiana Hospital Association Inc | Past | Accepting new patients | |
| Iberia Comprehensive Community Health Center,Inc. | Past | Accepting new patients | |
| Hospital Service District No. 1 of Iberia Parish | Past | Accepting new patients |
Locations
1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687
2900 2nd Ave
Lake Charles, LA 70601
Phone (337) 480-8175
1890 W Gauthier Rd
Ste 135
Lake Charles, LA 70605
Phone (337) 480-5510
2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734
2312 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 365-1500
2309 E Main St
Ste 200
New Iberia, LA 70560
Phone (337) 256-8779
Interoperability endpoints
- cmaraist5339319@direct.casso.us.com
- https://fhir-usa.unify.chbase.com/org/ibermed-05842f36
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Lake Charles, LA
- NPI 1649582065
-
- Physical Medicine & Rehabilitation Physician
- Lake Charles, LA
- NPI 1215161922
-
- Family Medicine Physician
- New Iberia, LA
- NPI 1518265297
-
- General Acute Care Hospital
- New Iberia, LA
- NPI 1780690180
-
- General Acute Care Hospital
- New Iberia, LA
- NPI 1285601088
-
- Federally Qualified Health Center (FQHC)
- New Iberia, LA
- NPI 1922046549
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1780976266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12137",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705622137",
"telephone_number": "337-256-8779",
"fax_number": "337-359-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 E MAIN ST",
"address_2": "SUITE 200",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604046",
"telephone_number": "337-256-8779",
"fax_number": "337-359-4997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARAIST",
"first_name": "CLAYTON",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD.207826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2144235",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.