Active NPI
Erin Fruge Hill, PA
- Physician Assistant
- Lafayette, LA
National Provider Identifier
1962655043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.200016RX
- Practice address
- 120 Boucher St
Lafayette, LA 70504-0001 - Phone
- (337) 482-5464
- Fax
- (337) 482-6428
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200016RX | LA | Primary |
Addresses
Primary practice location
120 Boucher St
Lafayette, LA 70504-0001
Mailing address
200 Petroleum Dr
Lafayette, LA 70508-3880
Phone (337) 322-4228
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Petroleum Dr
Lafayette, LA 70508-3880
Phone (337) 988-9999
2949 S Union St
Opelousas, LA 70570-5740
Phone (337) 948-9606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.200016RX | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth L Entes MD Apmc | Past | Accepting new patients | |
| University of Louisiana at Lafayette | 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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Lafayette, LA
- NPI 1720011323
-
- Cardiovascular Disease Physician
- Lafayette, LA
- NPI 1629276886
-
- Student Health Clinic/Center
- Lafayette, LA
- NPI 1245245000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1962655043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PETROLEUM DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083880",
"telephone_number": "337-322-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BOUCHER ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705040001",
"telephone_number": "337-482-5464",
"fax_number": "337-482-6428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "ERIN",
"middle_name": "FRUGE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200016RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.