Provider Demographics
NPI:1265504823
Name:PECOT & PADGETT APMC
Entity Type:Organization
Organization Name:PECOT & PADGETT APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PADGETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-948-8206
Mailing Address - Street 1:2217 OLD JEANERETTE RD
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-8687
Mailing Address - Country:US
Mailing Address - Phone:337-560-5558
Mailing Address - Fax:337-365-3134
Practice Address - Street 1:217 LA RUE FRANCE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3103
Practice Address - Country:US
Practice Address - Phone:337-233-5711
Practice Address - Fax:337-232-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1942880Medicaid
LA1942880Medicaid