Organization Active NPI

Haydel Surgical Clinic

  • Surgery Physician
  • Houma, LA
National Provider Identifier
1952389199
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HAYDEL SURGICAL CLINIC
Practice address
502 Barrow St
Houma, LA 70360-4606
Phone
(985) 868-4890
Fax
(985) 876-7413
NPI assigned
Jan 6, 2006
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Dr. Karl Gerald Haydel Sr., M.D.
Title
Owner
Phone
(985) 868-4890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

502 Barrow St
Houma, LA 70360-4606

Mailing address

502 Barrow St
Houma, LA 70360-4606
Phone (985) 868-4890

Other identifiers 1

IdentifierTypeStateIssuer
1799530MedicaidLA

Other names 1

  • HAYDEL, TEDESCO, MATHIEU, LEDOUX, APC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1952389199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BARROW ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604606",
            "telephone_number": "985-868-4890",
            "fax_number": "985-876-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BARROW ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604606",
            "telephone_number": "985-868-4890",
            "fax_number": "985-876-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEL SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "HAYDEL",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-868-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799530",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYDEL, TEDESCO, MATHIEU, LEDOUX, APC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.