Active NPI
Reconstructive Breast Surgeons of Acadiana
- Plastic Surgery Physician
- Lafayette, LA
National Provider Identifier
1962819557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD200512
- Legal business name
- RECONSTRUCTIVE BREAST SURGEONS OF ACADIANA
- Practice address
- 917 Coolidge Blvd
Lafayette, LA 70503-2433 - Phone
- (337) 269-4949
- Fax
- (337) 269-4950
- NPI assigned
- Jul 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen James Delatte, MD
- Title
- Partner
- Phone
- (337) 269-4949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD200512 | LA | Primary |
Addresses
Primary practice location
917 Coolidge Blvd
Lafayette, LA 70503-2433
Mailing address
917 Coolidge Blvd
Lafayette, LA 70503-2433
Phone (337) 269-4949
National Provider Directory
National Provider DirectoryLocations
917 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 237-5774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1962819557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032433",
"telephone_number": "337-269-4949",
"fax_number": "337-269-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032433",
"telephone_number": "337-269-4949",
"fax_number": "337-269-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECONSTRUCTIVE BREAST SURGEONS OF ACADIANA",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "DELATTE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "337-269-4949",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "LA",
"license": "MD200512",
"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 Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.