Bayou Medical Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BAYOU MEDICAL GROUP LLC

Practice address

6684 W Park Ave
Houma, LA 70364-2436

Phone

(985) 346-6864

Fax

(985) 346-6742

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael James Straney, MD

Title

Ownerf

Phone

(985) 346-6864

Specialties & licenses 1

Addresses

Other names 1

• BayouMD Doing business as

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1992256507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6684 W PARK AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6684 W PARK AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642436",
            "telephone_number": "985-346-6864",
            "fax_number": "985-346-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "STRANEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNERF",
        "authorized_official_telephone_number": "985-346-6864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BayouMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Gunter Baughman, DDS/MD
• Kate Lauren Baumann, FNP
• Bayou Behavioral Health Counseling & Consulting LLC
• Bayou Cane Fire Protection District
• Bayou Home Care L.L.C.
• Bayou Pediatric Associates, Apmc
• Bayou Pediatric Associates, Apmc
• Bayou Retina Associates, LLC
• Bayou Surgical Specialists, L.L.C.
• Bayouside DME LLC

• Clinic/Center in Houma, LA
• Providers in Houma, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.