Active NPI
Gastroenterology Clinic of Acadiana LLC
- Gastroenterology Physician
- Lafayette, LA
National Provider Identifier
1841363512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROENTEROLOGY CLINIC OF ACADIANA LLC
- Practice address
- 1211 Coolidge Blvd
Suite 303
Lafayette, LA 70503-2636 - Phone
- (337) 232-6697
- Fax
- (337) 232-3147
- NPI assigned
- Nov 17, 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
- Dr. Stephen G Abshire, MD
- Title
- Ceo
- Phone
- (337) 232-6697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1211 Coolidge Blvd
Suite 303
Lafayette, LA 70503-2636
Mailing address
1211 Coolidge Blvd
Suite 303
Lafayette, LA 70503-2636
Phone (337) 232-6697
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1443085 | Medicaid | LA | |
| 826013977 | Other | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
201 Saint Patrick St
Ste 102
Lafayette, LA 70506
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Lafayette, LA
- NPI 1619695384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256083200000",
"number": "1841363512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD",
"address_2": "SUITE 303",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032636",
"telephone_number": "337-232-6697",
"fax_number": "337-232-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD",
"address_2": "SUITE 303",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032636",
"telephone_number": "337-232-6697",
"fax_number": "337-232-3147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY CLINIC OF ACADIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2009-10-21",
"status": "A",
"authorized_official_last_name": "ABSHIRE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-232-6697",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1443085",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "826013977",
"state": null
}
],
"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 Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.