Corey Dupre, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

303639 Issued in LA

Practice address

1990 Industrial Blvd
Houma, LA 70363-7055

Phone

(985) 850-1011

Fax

(985) 851-0053

NPI assigned

Oct 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Service District No 1 of the Parish of St MaryGroup PAC ID 6800782541, 23 clinicians

Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
• Physicians Medical Center Hospital, Houma, LA, CCN 190241
• Bayou Bend Health System Hospital, Franklin, LA, CCN 191310

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Service District No. 1 of the Parish of St. Mary

  dba Bayou Bend Health System

  • Surgery Physician
  • Franklin, LA
  • NPI 1699895953
  Medicare reassignment Care Compare group NPD
• Orthopaedic Sports Specialists of Louisiana LLC

  dba OrthoLA

  • Orthopaedic Surgery Physician
  • Thibodaux, LA
  • NPI 1316146228
  Medicare reassignment Care Compare group NPD
• South Louisiana Medical Associates

  • Surgery Physician
  • Houma, LA
  • NPI 1942301379
  Medicare reassignment
• Hospital Service District No. 1 of the Parish of St. Mary

  dba Bayou Bend Health System

  • Medicare Defined Swing Bed Hospital Unit
  • Franklin, LA
  • NPI 1083753610
  NPD
• Orthopaedic Sports Specialists of Louisiana, LLC

  dba OrthoLA

  • Orthopaedic Surgery Physician
  • Lutcher, LA
  • NPI 1720752827
  NPD
• South Louisiana Medical Associates

  • Durable Medical Equipment & Medical Supplies
  • Houma, LA
  • NPI 1699218131
  NPD
• South Louisiana Medical Associates

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1710944012

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District No. 1 of the Parish of St. Mary

  dba Bayou Bend Health System

  • Critical Access Hospital
  • Franklin, LA
  • NPI 1043218365
  Care Compare affiliation
• Physicians Medical Center, LLC

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1477509859
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1881145258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-850-1011",
            "fax_number": "985-851-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-850-1011",
            "fax_number": "985-851-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "COREY",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "303639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Duplantis, M.D.
• Kattie Duplessis, PMHNP-BC
• Adela Dupont, MD
• Bailey Marie Dupre
• Caleb Dupre, MD
• Joanna Rose Dupre
• Peter Dupree, D.D.S.
• Dana Badeaux Durkes, P.T.A.
• Stephanie Durocher, NP
• Dustin Allen Hebert LLC

• Physician Assistant in Houma, LA
• Providers in Houma, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.