Joel D Thibodeaux, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

025001 Issued in LA

Practice address

1701 Oak Park Blvd
Lake Charles, LA 70601-8911

Phone

(337) 494-3190

NPI assigned

Oct 4, 2006

Last updated

Apr 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Louisiana State University School of Medicine in Shreveport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brown and Associates Medical Laboratories LLPGroup PAC ID 3072508316, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
• Oakbend Medical Center Hospital, Richmond, TX, CCN 450330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brown & Associates Medical Laboratories, LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1912981747
  Medicare reassignment Care Compare group NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Brown & Associates Medical Laboratories LLP

  dba Brown & Associates Pathology

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1588649016

  Anatomic Pathology & Clinical Pathology

  NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
  • NPI 1104891050
  NPD
• Louisiana State University Health Sciences Center

  dba LSUHSC-S Department of Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1326117003
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  dba Memorial Hermann Katy Hospital

  • General Acute Care Hospital
  • Katy, TX
  • NPI 1932152337
  Care Compare affiliation
• Oakbend Medical Center

  • General Acute Care Hospital
  • Richmond, TX
  • NPI 1700883196
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1972698918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3780",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033780",
            "telephone_number": "318-841-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018911",
            "telephone_number": "337-494-3190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907208",
            "country_code": "US",
            "telephone_number": "214-590-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "JOEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N3344",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "025001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1423602",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1972698918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirk James Thibeaux, MBA
• Colby Ryan Thibodeaux, FNP
• Elise Thibodeaux
• Emily Granger Thibodeaux, FNP
• James Thibodeaux, PHARMD.
• Kourtney Thibodeaux, PSS
• Megan Leblanc Thibodeaux, NP
• Bridgette Annette Thierry
• Mareka Thierry
• Navdeep K Thind, D.M.D.

• Anatomic Pathology & Clinical Pathology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.

Verify at the official NPI Registry.