Yerasi Pediatric and Family Group of Acadiana LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

YERASI PEDIATRIC AND FAMILY GROUP OF ACADIANA LLC

Practice address

555 Lakes Blvd
Breaux Bridge, LA 70517-3240

Phone

(270) 246-0568

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Srinivasa Yerasi, MDNPI 1043529548

Title

Pediatrician

Phone

(270) 246-0568

Specialties & licenses 2

Addresses

Practitioners 1

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

• Srinivasa Reddy Yerasi, M.D

  • Pediatrics Physician
  • Breaux Bridge, LA
  • NPI 1043529548
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1891443750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MARBLE CREEK CV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705081710",
            "telephone_number": "270-246-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LAKES BLVD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173240",
            "telephone_number": "270-246-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YERASI PEDIATRIC AND FAMILY GROUP OF ACADIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "YERASI",
        "authorized_official_first_name": "SRINIVASA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "270-246-0568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Wiltz, MSW
• Stella Wiltz, OWNER
• Jennifer Degeyter Wisdom, COTA/L
• Wise Transportation LLC
• Xtra Mile Transportation LLC
• Srinivasa Reddy Yerasi, M.D

• Pediatrics Physician in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.