KENNETH JAMES CRUSE M.D., NPI 1588668826
Pediatrics in THIBODAUX, LA
Last Updated on : Feb 24,2016
About KENNETH JAMES CRUSE (NPI 1588668826)
KENNETH JAMES CRUSE is a Pediatrics provider in THIBODAUX, United States. His medical specialization is Pediatrics .
1588668826 is NPI number of KENNETH JAMES CRUSE.
KENNETH JAMES CRUSE's primary taxonomy code based on NPI Lookup is 208000000X with license number MD10219R. This taxonomy code refers to Pediatrics.
KENNETH JAMES CRUSE has more than 17 years of experience.
KENNETH JAMES CRUSE current practice location address is 604 N ACADIA RD STE 200, THIBODAUX, LA. KENNETH JAMES CRUSE can be reached out via phone at 985-448-3700 and via fax at 985-448-3900 .
You can also correspond with KENNETH JAMES CRUSE through mail at mailing address 604 N ACADIA RD, THIBODAUX, LA, United States. Mailing address contact number is 985-448-3700.
The enumeration date of KENNETH JAMES CRUSE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 7 years ago.1588668826 NPI Information
Basic NPI information of KENNETH JAMES CRUSE (NPI 1588668826) is provided below.
| Name | KENNETH JAMES CRUSE |
|---|---|
| National Provider Id (NPI) | 1588668826 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 604 N ACADIA RD STE 200,
THIBODAUX, LA, United States |
| Practice Telephone | 985-448-3700 |
| Practice Fax Number | 985-448-3900 |
| Mailing Address | 604 N ACADIA RD ,
SUITE 200
THIBODAUX, LA, United States |
| Mailing Telephone | 985-448-3700 |
| Mailing Fax Number | 985-448-3900 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 24-Feb-2016 |
KENNETH JAMES CRUSE (NPI 1588668826) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD10219R | LA |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1986011 | MEDICAID (05) | LA |
KENNETH JAMES CRUSE (NPI 1588668826) Office Location
Office location of KENNETH JAMES CRUSE is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1427233865 | TONI PESSON | Speech-Language Pathologist, | 276 FIELDCREST DR,
THIBODAUX, LA, United States |
03-Jan-2008 |
| 1275680944 | STEVEN J MARCELLO | Dentist, Pediatric Dentistry | 156 W MAIN ST,
THIBODAUX, LA, United States |
04-Jan-2007 |
| 1013193986 | TONYA JEAN CALDWELL | Day Training, Developmentally Disabled Services | 1418 TIGER DR,
THIBODAUX, LA, United States |
10-Jan-2008 |
| 1700180502 | CARLOS J AMOS | Social Worker, Clinical | 690 E 1ST ST,
THIBODAUX, LA, United States |
07-Jan-2011 |
| 1871830026 | ARIEAL CELESTINE | Case Manager/Care Coordinator | 102 W 2ND ST,
THIBODAUX, LA, United States |
08-Jan-2013 |
| 1225501752 | ADAPTIVE PROSTHETICS AND ORTHOTICS LLC | Prosthetic/Orthotic Supplier | 808 BELANGER ST,
HOUMA, LA, United States |
08-Jan-2019 |
| 1750430039 | LARRY J VERDUN | Dentist, General Practice | 1001B E 7TH ST,
THIBODAUX, LA, United States |
09-Jan-2007 |
| 1013480276 | MIA NICOLE FORET | Behavior Technician | 1418 TIGER DR,
THIBODAUX, LA, United States |
09-Jan-2019 |
| 1629585708 | CINDA ANN LEDET | Massage Therapist | 970 S ACADIA RD,
THIBODAUX, LA, United States |
10-Jan-2018 |
| 1033269352 | SOUTHLAND DRUGS NO 2 INC | Pharmacy | 1117 AUDUBON AVE,
THIBODAUX, LA, United States |
11-Jan-2007 |
| 1659844777 | AMBER ZORN EICHHORN | Registered Nurse | 2535 VETERANS BLVD,
THIBODAUX, LA, United States |
11-Jan-2019 |
| 1194181776 | CIERA LEBOUEF | Counselor, Mental Health | 1418 TIGER DR,
THIBODAUX, LA, United States |
12-Jan-2016 |
| 1689030140 | LAUREN B BEAUDEAN | Nurse Practitioner, Family | 807 RIDGEFIELD RD,
THIBODAUX, LA, United States |
13-Jan-2016 |
| 1215088513 | LESLIE JOHN DAIGLE | Specialist | 101 ABBY RD,
THIBODAUX, LA, United States |
15-Jan-2007 |
| 1467503417 | LAFOURCHE ARC | Intermediate Care Facility, Intellectual Disabilities | 100 W MAIN ST,
THIBODAUX, LA, United States |
16-Jan-2007 |
| 1043362692 | LAFOURCHE ARC | Intermediate Care Facility, Intellectual Disabilities | 100 W MAIN ST,
THIBODAUX, LA, United States |
16-Jan-2007 |
| 1841342490 | LAFOURCHE ARC | Intermediate Care Facility, Intellectual Disabilities | 100 W MAIN ST,
THIBODAUX, LA, United States |
16-Jan-2007 |
| 1578615126 | LAFOURCHE ARC | Intermediate Care Facility, Intellectual Disabilities | 100 W MAIN ST,
THIBODAUX, LA, United States |
16-Jan-2007 |
| 1548312044 | LAFOURCHE ARC | Intermediate Care Facility, Intellectual Disabilities | 100 W MAIN ST,
THIBODAUX, LA, United States |
17-Jan-2007 |
| 1871645366 | LAFOURCHE ARC | Intermediate Care Facility, Intellectual Disabilities | 100 W MAIN ST,
THIBODAUX, LA, United States |
17-Jan-2007 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1588668826?1588668826 is the NPI number of KENNETH JAMES CRUSE.
What is the specialty for KENNETH JAMES CRUSE?The Specialty of KENNETH JAMES CRUSE is Pediatrics.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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