Active NPI
Theodore Wensel Deblanc, M.D.
- Internal Medicine Physician
- Opelousas, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017665
- Practice address
- 1270 Attakapas Dr Ste 502
Opelousas, LA 70570-6530 - Phone
- (337) 942-9977
- Fax
- (337) 942-8006
- NPI assigned
- Jun 20, 2007
- Last updated
- Jan 20, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017665 | LA | Primary |
Addresses
Primary practice location
1270 Attakapas Dr Ste 502
Opelousas, LA 70570-6530
Mailing address
1270 Attakapas Dr Ste 502
Opelousas, LA 70570-6530
Phone (337) 942-9977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1371424 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1270 Attakapas Dr
Suite 502
Opelousas, LA 70570-6530
Phone (337) 942-9977
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017665 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opelousas General Health System | Current | Accepting new patients | |
| Opelousas General Health System Physician Practices | Current | Accepting new patients | |
| Opelousas General Health System Physician Practices | Past | Accepting new patients | |
| Correct Care, Inc. | Past | Accepting new patients | |
| Cenla Chiropractic & Wellness | Past | Accepting new patients |
Locations
1200 Hospital Dr
Ste 4
Opelousas, LA 70570
Phone (337) 447-4027
1200 Hospital Dr
Ste 5
Opelousas, LA 70570
Phone (337) 678-4285
1233 Wayne Gilmore Cir
Ste 250B
Opelousas, LA 70570
Phone (337) 407-1955
1270 Attakapas Dr
Ste 502
Opelousas, LA 70570
Phone (337) 942-9977
3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750
3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750
539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128
Interoperability endpoints
- theodore.deblanc.1@20525.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1295098747
-
dba Physician Practices
- Surgery Physician
- Opelousas, LA
- NPI 1275794679
-
- Chiropractor
- Pineville, LA
- NPI 1356533251
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1003164054
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lafayette, LA
- NPI 1275580151
-
- Home Health Agency
- Eunice, LA
- NPI 1720842537
-
dba Allegiance Home Health of East Central Louisiana
- Home Health Agency
- Ville Platte, LA
- NPI 1902892797
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- Home Health Agency
- Breaux Bridge, LA
- NPI 1396167524
-
- General Acute Care Hospital
- Opelousas, LA
- NPI 1447230388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1952506750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 ATTAKAPAS DR STE 502",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705706530",
"telephone_number": "337-942-9977",
"fax_number": "337-942-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 ATTAKAPAS DR STE 502",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705706530",
"telephone_number": "337-942-9977",
"fax_number": "337-942-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBLANC",
"first_name": "THEODORE",
"middle_name": "WENSEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "017665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1371424",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.