Teche Occupational Medicine Clinic

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

11027053 Issued in LA

Legal business name

TECHE OCCUPATIONAL MEDICINE CLINIC

Practice address

2309 E Main St
BLDG B
New Iberia, LA 70560-4046

Phone

(337) 560-0931

Fax

(337) 560-0934

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Scott Hoover, MBA

Title

Administrator

Phone

(337) 560-0931

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harold Joseph Broussard, PA

  • Medical Physician Assistant
  • New Iberia, LA
  • NPI 1144352287
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932231065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "BLDG B",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-560-0931",
            "fax_number": "337-560-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "BLDG B",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-560-0931",
            "fax_number": "337-560-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECHE OCCUPATIONAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-560-0931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "LA",
            "license": "11027053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Hardy Swiger, CRNA
• Kelly E Sylve
• T&S Care Transit LLC
• Sidra Tai, MD
• Michael Jude Tarantino, MD
• Teche Specialty Hospital, LLC (Iberia Rehabilitaton Hospital)
• Teche Specialty Hospital, LLC
• Charlotte Ann Tellez, RN
• Darlene Terrell
• The Arc of Iberia

• Occupational Medicine Clinic/Center in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Occupational Medicine Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.