NPIMap

Organization Active NPI

Quentin D. Falgoust MD a Medical Corporation

  • Medical Specialty Clinic/Center
  • Thibodaux, LA
National Provider Identifier
1902966492
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
QUENTIN D. FALGOUST MD A MEDICAL CORPORATION
Practice address
1101 Audubon Ave Ste N5
Thibodaux, LA 70301-4957
Phone
(985) 446-0506
Fax
(985) 446-7614
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Quentin D Falgoust, M.D.
Title
Owner
Phone
(985) 446-0506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1101 Audubon Ave Ste N5
Thibodaux, LA 70301-4957

Mailing address

1101 Audubon Ave
Ste N-5
Thibodaux, LA 70301-4957
Phone (985) 446-0506

Other identifiers 1

IdentifierTypeStateIssuer
1799726MedicaidLA

Other names 1

  • Advanced Eye Institute Doing business as

National Provider Directory

National Provider Directory

Locations

16140 W Main St
Cut Off, LA 70345
Phone (985) 632-2884

1500 Northwest Blvd
Franklin, LA 70538
Phone (337) 828-3651

268 Corporate Dr
Houma, LA 70360
Phone (985) 879-2393

Practitioners & affiliated clinicians

Practitioners 12

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1902966492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE",
            "address_2": "STE N-5",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957",
            "telephone_number": "985-446-0506",
            "fax_number": "985-446-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE STE N5",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957",
            "telephone_number": "985-446-0506",
            "fax_number": "985-446-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUENTIN D. FALGOUST MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "FALGOUST",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-446-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799726",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.