Active NPI
Madeleine Guerin, M.D.
- Pediatrics Physician
- Gonzales, LA
National Provider Identifier
1932108651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 021249
- Practice address
- 2647 S Saint Elizabeth Blvd
Gonzales, LA 70737-5021 - Phone
- (225) 647-8511
- Fax
- (225) 644-5213
- NPI assigned
- Jul 14, 2005
- Last updated
- Aug 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 021249 | LA | Primary |
Addresses
Primary practice location
2647 S Saint Elizabeth Blvd
Gonzales, LA 70737-5021
Mailing address
2647 S Saint Elizabeth Blvd
Gonzales, LA 70737-5021
Phone (225) 647-8511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1988821 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021249 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lake Ascension, LLC | Past | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients | |
| Olol-Ascension | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba St Elizabeth Physicians DSME Program
- Health Educator
- Gonzales, LA
- NPI 1114201399
-
dba Our Lady of the Lake Children's Health Developmental Center at McMains
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1932108651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 S SAINT ELIZABETH BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375021",
"telephone_number": "225-647-8511",
"fax_number": "225-644-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 S SAINT ELIZABETH BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375021",
"telephone_number": "225-647-8511",
"fax_number": "225-644-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERIN",
"first_name": "MADELEINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "021249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1988821",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.