Provider Demographics
NPI:1134189285
Name:PADGETT, CHARLES E (MD)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:E
Last Name:PADGETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1211 COOLIDGE STREET
Mailing Address - Street 2:SUITE 405
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2638
Mailing Address - Country:US
Mailing Address - Phone:337-233-7524
Mailing Address - Fax:337-233-7567
Practice Address - Street 1:1211 COOLIDGE STREET
Practice Address - Street 2:SUITE 405
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2638
Practice Address - Country:US
Practice Address - Phone:337-233-7524
Practice Address - Fax:337-233-7567
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2020-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA018278207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1388700Medicaid
LA79691OtherBLUE CROSS OF LA.
LA1388700Medicaid
LAE06585Medicare UPIN