Provider Demographics
NPI:1407049554
Name:ZERINGUE, AMY W (MD)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:W
Last Name:ZERINGUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60612
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70596-0612
Mailing Address - Country:US
Mailing Address - Phone:337-981-9316
Mailing Address - Fax:337-981-8303
Practice Address - Street 1:100 ASMA BOULEVARD
Practice Address - Street 2:SUITE 385
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-981-9316
Practice Address - Fax:337-981-8303
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.203175208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1007803Medicaid