Critical Care Newborn Services

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

200453 Issued in LA

Legal business name

CRITICAL CARE NEWBORN SERVICES

Practice address

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Phone

(337) 984-7828

Fax

(337) 984-7828

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Mark De Iulio, MDNPI 1891764999

Title

President

Phone

(337) 984-7828

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• David Mark De Iulio, MD

  • Neonatal-Perinatal Medicine Physician
  • Lafayette, LA
  • NPI 1891764999
  NPD (past) Authorized official
• William Smalling, MD

  • Neonatal-Perinatal Medicine Physician
  • Lafayette, LA
  • NPI 1538248901
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831143437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51393",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051393",
            "telephone_number": "337-984-7828",
            "fax_number": "337-984-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032621",
            "telephone_number": "337-984-7828",
            "fax_number": "337-984-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE NEWBORN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE IULIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-984-7828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "200453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041637",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CRG Clinical Services LLC
• Jessica M Criddle
• Kelly D Crim, NP
• William Lee Crim III, DO
• Robert Louis Crist Jr.
• Bridget Landry Crochet, LCSW
• Ella C Crochet
• Jo-Nia Crochet, PLPC
• Catherine L Crockett
• Jaime Covington Crooks, SPEECH THERAPIST

• Neonatal-Perinatal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Neonatal-Perinatal Medicine Physician in Louisiana

• 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.

Verify at the official NPI Registry.