NPIMap

Organization Active NPI

Southern ENT Associates Inc

  • Audiologist
  • Thibodaux, LA
National Provider Identifier
1982155388
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7118 Issued in LA
Legal business name
SOUTHERN ENT ASSOCIATES INC
Practice address
604 North Acadia Road Suite 101
Thibodaux, LA 70301
Phone
(985) 446-5079
Fax
(985) 447-2497
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Mrs. Kayla Marcel
Title
Insurance
Phone
(985) 446-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 7118 LA Primary

Addresses

Primary practice location

604 North Acadia Road Suite 101
Thibodaux, LA 70301

Mailing address

604 North Acadia Road Suite 101
Thibodaux, LA 70301
Phone (985) 446-5079

National Provider Directory

National Provider Directory
Tax ID family
Southern ENT Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

604 N Acadia Rd
Ste 101
Thibodaux, LA 70301
Phone (985) 446-5079

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1982155388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 NORTH ACADIA ROAD SUITE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-5079",
            "fax_number": "985-447-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 NORTH ACADIA ROAD SUITE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-5079",
            "fax_number": "985-447-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ENT ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "MARCEL",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "985-446-5079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "LA",
            "license": "7118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.