J a Badeaux III MD a Professional Medical Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

09174R Issued in LA

Legal business name

J A BADEAUX III MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

2108 Texas Ave Ste 3061
Alexandria, LA 71301

Phone

(318) 443-8380

Fax

(318) 443-6079

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J. A. Badeaux III, M.D.

Title

Physician

Phone

(318) 443-8380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 2

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

• Joseph A Badeaux III, MD

  • Otolaryngology Physician
  • Alexandria, LA
  • NPI 1346244852
  Medicare reassignment NPD
• Larry Wayne Rachal Jr., NP

  • Family Nurse Practitioner
  • Alexandria, LA
  • NPI 1659719664
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1801005590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE STE 3061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013903",
            "telephone_number": "318-443-8380",
            "fax_number": "318-443-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE STE 3061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-443-8380",
            "fax_number": "318-443-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J A BADEAUX III MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BADEAUX",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-443-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "09174R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Irwin, PLPC PLMFT
• Ahmed Zead Issa
• Calvin Luke Ivie, CRNA
• Joshua Ivory
• Molly McKay Ivy
• Jackson Group Home
• Jackson Street Medical Center
• Jackson Street Pediatrics, LLC
• Ashley Jackson, LPN
• Brittney Baylor Jackson, CNA

• Otolaryngology Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.