Roger Edmund Stueben, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

013386 Issued in LA

Practice address

1107 Audubon Ave
Suite B
Thibodaux, LA 70301

Phone

(985) 447-5864

Fax

(985) 447-5851

NPI assigned

Dec 13, 2006

Last updated

May 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hospital Service District No. 3

  dba Thibodaux Regional Medical Center

  • Psychiatric Hospital Unit
  • Thibodaux, LA
  • NPI 1831444009
  NPD (past)
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  NPD (past)
• Physicians of Sleep Associates LLC

  • Pulmonary Disease Physician
  • Baton Rouge, LA
  • NPI 1962593798
  NPD (past)
• Thibodaux Regional Health System Inc

  • Home Health Agency
  • Thibodaux, LA
  • NPI 1912567033
  NPD (past)

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

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1982765947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 AUDUBON AVE",
            "address_2": "SUITE B",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-447-5864",
            "fax_number": "985-447-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 AUDUBON AVE",
            "address_2": "SUITE B",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-447-5864",
            "fax_number": "985-447-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEBEN",
        "first_name": "ROGER",
        "middle_name": "EDMUND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "013386",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "LA",
            "license": "013386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1180637",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Cook Stone, PHYSICIAN ASSISTANT
• Stacy Stpierre
• Michael Straney, M.D.
• Lanisha Strong
• Moriah McKenna Strother
• Eric Matthew Swenson, DPM
• Michelle G Sykes
• Cynthia Duval Sylvest, OT
• Synergy Homecare of Thibodaux
• Ginger Szush, RN

• Pulmonary Disease Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Pulmonary Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.