Organization Active NPI

Ronald Armand Jenkins

  • Specialist
  • Lafayette, LA
National Provider Identifier
1831144799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
05892R Issued in LA
Legal business name
RONALD ARMAND JENKINS
Practice address
345 Doucet Rd
Ste., 240
Lafayette, LA 70503-3488
Phone
(337) 983-0700
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Armand Jenkins, M.D.NPI 1053312074
Title
Owner
Phone
(337) 983-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 05892R LA Primary

Addresses

Primary practice location

345 Doucet Rd
Ste., 240
Lafayette, LA 70503-3488

Mailing address

345 Doucet Rd
Ste., 240
Lafayette, LA 70503-3488
Phone (337) 983-0700

Other identifiers 3

IdentifierTypeStateIssuer
1341843MedicaidLA
1053312074OtherLANPI#
5314586OtherLAAETNA

National Provider Directory

National Provider Directory

Locations

501 W Saint Mary Blvd
Ste 100
Lafayette, LA 70506
Phone (337) 234-1700

345 Doucet Rd
Ste 240
Lafayette, LA 70503
Phone (337) 983-0700

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831144799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD",
            "address_2": "STE., 240",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033488",
            "telephone_number": "337-983-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD",
            "address_2": "STE., 240",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033488",
            "telephone_number": "337-983-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD ARMAND JENKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ARMAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-983-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "05892R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1341843",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1053312074",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5314586",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • 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.