Active NPI
Thibodaux Endoscopy LLC
- Ambulatory Surgical Clinic/Center
- Thibodaux, LA
National Provider Identifier
1831167329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0112
- Legal business name
- THIBODAUX ENDOSCOPY LLC
- Practice address
- 764 N Acadia Rd Ste B
Thibodaux, LA 70301-5009 - Phone
- (985) 446-1958
- Fax
- (985) 446-0121
- NPI assigned
- Mar 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles J Monier Jr., MD
- Title
- President
- Phone
- (985) 446-1958
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0112 | LA | Primary |
Addresses
Primary practice location
764 N Acadia Rd Ste B
Thibodaux, LA 70301-5009
Mailing address
764 N Acadia Rd Ste B
Thibodaux, LA 70301-5009
Phone (985) 446-1958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1167452 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100113000076 | LA | Part B Supplier - Ambulatory Surgical Center | 6406997451 | Practice locations: Thibodaux, LA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Thibodaux Endoscopy LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2240433 | Thibodaux Endoscopy LLC | Certificate of waiver | Oct 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Thibodaux, LA
- NPI 1043288160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745798400000",
"number": "1831167329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 N ACADIA RD STE B",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703015009",
"telephone_number": "985-446-1958",
"fax_number": "985-446-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 N ACADIA RD STE B",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703015009",
"telephone_number": "985-446-1958",
"fax_number": "985-446-0121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THIBODAUX ENDOSCOPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-09",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A",
"authorized_official_last_name": "MONIER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "985-446-1958",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "LA",
"license": "0112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1167452",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
- Kidd Theriot, BS
- Thibodaux Addictive Disorders Clinic
- Thibodaux Behavioral Health, LLC.
- Thibodaux Community Home
- Thibodaux Emergency Physicians Group LLC
- Thibodaux Internal Medicine Associates,Inc.
- Thibodaux Laser and Surgery Center, LLC
- Thibodaux Laser and Surgery Center, LLC
- Thibodaux Orthopaedic and Sports Medicine Clinic
- Thibodaux PDHC, LLC (Thibodaux Pediatric Day Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.